Arzykulova G S, Kornienko A M, Ovchinnikov Iu M
Vestn Otorinolaringol. 1989 Jan-Feb(1):34-42.
An ENT practitioner often deals with facial pain. This problem has been widely discussed in the literature but the major issues of its etiology, pathogenesis and clinical development still remain unclear. Facial pain of different localization may be caused by ear, nose or throat inflammation, tumors, anatomic deviations of ENT organs, their traumatic lesions or surgical interventions or may be of psychogenic origin. Acute and chronic inflammatory diseases of ENT organs in patients suffering from prosopalgias suggest that they may be associated with ENT pathologies. However, the relationship between ENT pathologies and prosopalgias have been inadequately investigated by both otorhinolaryngology and neurology, clinical observations have not been properly reviewed, and reliable conclusions have not been made. There are essentially no publications discussing the question as to the cases in which ENT pathologies do or do not cause prosopalgias. Study of prosopalgias and identification of the role of ENT pathologies in their genesis are very important. For all practical purposes it seems necessary to invite an ENT doctor to participate in the diagnosis and treatment of prosopalgias.
耳鼻喉科医生经常会处理面部疼痛问题。这个问题在文献中已有广泛讨论，但关于其病因、发病机制和临床发展的主要问题仍不明确。不同部位的面部疼痛可能由耳、鼻或喉的炎症、肿瘤、耳鼻喉器官的解剖变异、其创伤性病变或手术干预引起，也可能源于心理因素。患有面部疼痛的患者中，耳鼻喉器官的急慢性炎症性疾病表明它们可能与耳鼻喉科疾病有关。然而，耳鼻喉科疾病与面部疼痛之间的关系在耳鼻喉科和神经科都未得到充分研究，临床观察也未得到妥善综述，尚未得出可靠结论。基本上没有出版物讨论耳鼻喉科疾病在何种情况下会或不会导致面部疼痛的问题。对面部疼痛的研究以及确定耳鼻喉科疾病在其发病过程中的作用非常重要。从实际应用的角度来看，邀请耳鼻喉科医生参与面部疼痛的诊断和治疗似乎是必要的。
