[A rare cause of oral pain: The pterygoid hamulus syndrome].
作者信息
Bandini M, Corre P, Huet P, Khonsari R H
机构信息
Service de chirurgie maxillofaciale et stomatologie, hôpital Pitié-Salpêtrière, AP-HP, 75013 Paris, France; Université Pierre-et-Marie-Curie Paris 06, 75005 Paris, France.
Service de stomatologie et chirurgie maxillofaciale, université de Nantes, CHU de Nantes, 44000 Nantes, France.
出版信息
Rev Stomatol Chir Maxillofac Chir Orale. 2015 Dec;116(6):380-3. doi: 10.1016/j.revsto.2015.10.006. Epub 2015 Nov 25.
INTRODUCTION
Pterygoid hamulus syndrome (PHS) is a rare cause of orofacial and oropharyngeal pain. PHS can be associated with a hamulus hypertrophy or with a bursitis of the palatosalpingeus but it has not always an anatomic cause.
OBSERVATION
A 36-year-old woman was seen for a constant posterior palatal pain spreading towards oropharynx, increasing during swallowing and lasting for more than 6 months. Physical examination showed an erythema of the soft palate, medially to the hamulus. Hamulus palpation was painful and revealed hamulus hypertrophia on both sides. A bilateral PHS was evocated.
DISCUSSION
This observation is typical of a PHS. We propose a review of the literature of this little-known syndrome. Treatment is initially conservative (corticosteroids) but surgery can be proposed in case of morphological anomalies of the hamulus.
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