Mongini Franco
Department of Clinical Pathophysiology, Headache and Facial Pain Unit, University of Turin, Corso Dogliotti 14, I-10126 Torino, Italy.
Curr Pain Headache Rep. 2007 Dec;11(6):465-70. doi: 10.1007/s11916-007-0235-z.
Pathologies currently defined as temporomandibular disorders may be different in nature. Temporomandibular joint (TMJ) disorders and craniofacial and cervical myogenous pain (MP) are distinct pathologies but may be superimposed and share some etiologic factors. Tension-type headache (TTH) may often be associated with craniofacial and cervical pain, and the same pharmacologic and nonpharmacologic treatment may be efficacious for both. Psychiatric comorbidity (depression and/or anxiety disorder) is less frequent in sheer TMJ disorders, compared with MP and TTH. A screening for the presence of an underlying psychiatric disorder should be part of the clinical evaluation in patients suffering from headache and facial pain.
目前被定义为颞下颌关节紊乱病的病症在本质上可能有所不同。颞下颌关节（TMJ）紊乱病与颅面及颈部肌源性疼痛（MP）是不同的病症，但可能相互叠加且有一些共同的病因。紧张型头痛（TTH）常与颅面及颈部疼痛相关，相同的药物和非药物治疗对两者可能都有效。与MP和TTH相比，单纯的TMJ紊乱病中精神共病（抑郁和/或焦虑症）较少见。对于患有头痛和面部疼痛的患者，临床评估应包括对潜在精神障碍的筛查。
