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口面部疼痛与颞下颌关节紊乱病的鉴别诊断

Differential diagnosis of orofacial pain and temporomandibular disorder.

作者信息

Kumar Anil, Brennan Michael T

机构信息

Department of Oral Medicine, Carolinas Medical Center, PO Box 32861, Charlotte, NC 28232, USA.

出版信息

Dent Clin North Am. 2013 Jul;57(3):419-28. doi: 10.1016/j.cden.2013.04.003. Epub 2013 May 23.

Abstract

When a patient complains of orofacial pain, health care providers must make a correct diagnosis. Doing this can be difficult, since various signs and symptoms may not be specific for 1 particular problem or disorder. One initially should formulate a broad differential diagnosis that can be narrowed after analysis of the history and examination. In this article, orofacial pain is categorized as being caused by: intracranial pain, headaches, neuropathic pain, intraoral pain, temporomandibular disorder, cervical pain, pain related to anatomically associated structures, referred pain, or mental illness.

摘要

当患者主诉口面部疼痛时,医疗保健人员必须做出正确的诊断。这可能具有一定难度,因为各种体征和症状可能并非某一特定问题或病症所特有。最初应制定一个宽泛的鉴别诊断,在分析病史和进行检查后再缩小范围。在本文中,口面部疼痛被归类为由以下原因引起:颅内疼痛、头痛、神经性疼痛、口腔内疼痛、颞下颌关节紊乱、颈部疼痛、与解剖学相关结构有关的疼痛、牵涉痛或精神疾病。

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