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慢性面部疼痛的管理

Management of chronic facial pain.

作者信息

Williams Christopher G, Dellon A Lee, Rosson Gedge D

出版信息

Craniomaxillofac Trauma Reconstr. 2009 May;2(2):67-76. doi: 10.1055/s-0029-1202593.

DOI:10.1055/s-0029-1202593
PMID:22110799
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3052669/
Abstract

Pain persisting for at least 6 months is defined as chronic. Chronic facial pain conditions often take on lives of their own deleteriously changing the lives of the sufferer. Although much is known about facial pain, it is clear that those physicians who treat these conditions should continue elucidating the mechanisms and defining successful treatment strategies for these life-changing conditions. This article will review many of the classic causes of chronic facial pain due to the trigeminal nerve and its branches that are amenable to surgical therapies. Testing of facial sensibility is described and its utility introduced. We will also introduce some of the current hypotheses of atypical facial pain and headaches secondary to chronic nerve compressions and will suggest possible treatment strategies.

摘要

持续至少6个月的疼痛被定义为慢性疼痛。慢性面部疼痛病症往往自行发展,对患者的生活产生有害影响。尽管人们对面部疼痛了解很多,但显然,治疗这些病症的医生应继续阐明其机制,并为这些改变生活的病症确定成功的治疗策略。本文将回顾许多因三叉神经及其分支导致的慢性面部疼痛的典型病因,这些病因适合手术治疗。文中描述了面部感觉测试并介绍了其用途。我们还将介绍一些关于非典型面部疼痛和继发于慢性神经压迫的头痛的当前假说,并提出可能的治疗策略。

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1
Management of chronic facial pain.慢性面部疼痛的管理
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Pain. 2020 May;161(5):916-925. doi: 10.1097/j.pain.0000000000001777.
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Injured Anterior Superior Alveolar Nerve Endoscopically Resected within Maxillary Sinus.上颌窦内内镜下切除损伤的前上牙槽神经。
Craniomaxillofac Trauma Reconstr. 2017 Sep;10(3):208-211. doi: 10.1055/s-0036-1592088. Epub 2016 Aug 23.
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Peripheral Neuropathic Facial/Trigeminal Pain and RANTES/CCL5 in Jawbone Cavitation.周围神经性面部/三叉神经痛与颌骨空洞中的RANTES/CCL5
Evid Based Complement Alternat Med. 2015;2015:582520. doi: 10.1155/2015/582520. Epub 2015 Jun 11.

本文引用的文献

1
Microvascular decompression for primary trigeminal neuralgia: long-term effectiveness and prognostic factors in a series of 362 consecutive patients with clear-cut neurovascular conflicts who underwent pure decompression.原发性三叉神经痛的微血管减压术:362例连续接受单纯减压且明确存在神经血管冲突患者的长期疗效及预后因素
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Anatomy of the corrugator supercilii muscle: part I. Corrugator topography.皱眉肌的解剖结构:第一部分。皱眉肌的局部解剖
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Measuring sensibility of the trigeminal nerve.测量三叉神经的感觉功能。
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