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不太为人知的非传染性和神经肌肉骨骼系统起源的颈前外侧和颅面疼痛障碍。

Less known non-infectious and neuromusculoskeletal system-originated anterolateral neck and craniofacial pain disorders.

机构信息

Department of Otorhinolaryngology, Gazi University School of Medicine, Gazi Ün Tıp Fak KBB AD, Beşevler, 06500 Ankara, Turkey.

出版信息

Eur Arch Otorhinolaryngol. 2012 Jan;269(1):9-16. doi: 10.1007/s00405-011-1746-0. Epub 2011 Aug 13.

Abstract

Pain syndromes of neuromusculoskeletal origin are not well-known by most of the clinicians working on head and neck area. As a result, most of the patients with these syndromes are either overlooked without having any treatment or they inappropriately have antibiotic treatments or surgical interventions such as dental extractions and tonsillectomies. Better recognition of the pain syndromes of the neck and face region or entities related to neuromusculoskeletal system may result in more appropriate and effective management of such conditions while avoiding unnecessary medical and surgical treatments. In this review, causes, clinical characteristics, diagnostic and treatment modalities of relatively less known craniofacial and neck pain entities including Eagle syndrome, carotidynia, glossopharyngeal neuralgia, superior laryngeal neuralgia, hyoid bone syndrome, acute calcific retropharyngeal tendinitis, temporal tendinitis, thyroid and cricoid cartilage syndromes, and mastoid process syndrome are summarized.

摘要

神经肌肉骨骼源性疼痛综合征在大多数从事头颈部工作的临床医生中并不为人所知。结果,大多数患有这些综合征的患者要么被忽视而没有任何治疗,要么不恰当地接受抗生素治疗或手术干预,如拔牙和扁桃体切除术。更好地认识颈部和面部疼痛综合征或与神经肌肉骨骼系统相关的实体可能会导致对这些情况进行更适当和有效的管理,同时避免不必要的医疗和手术治疗。在这篇综述中,总结了相对不太为人知的颅面和颈部疼痛实体的病因、临床特征、诊断和治疗方法,包括鹰钩综合征、颈动脉痛、舌咽神经痛、喉上神经痛、舌骨综合征、急性钙化性咽后肌腱炎、颞肌腱炎、甲状腺和环状软骨综合征和乳突过程综合征。

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