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口腔外科II:第5部分。慢性口面部疼痛。

Oral surgery II: Part 5. Chronic orofacial pain.

作者信息

Renton T

机构信息

King's College London.

出版信息

Br Dent J. 2017 Dec 15;223(11):826-836. doi: 10.1038/sj.bdj.2017.990.

DOI:10.1038/sj.bdj.2017.990
PMID:29243716
Abstract

Chronic orofacial pain syndromes represent a diagnostic challenge for any practitioner. Patients are frequently misdiagnosed or attribute their pain to a prior event such as a dental procedure, ENT problem or facial trauma. Psychiatric symptoms of depression and anxiety are prevalent in this population and compound the diagnostic conundrum. Treatment is less effective than in other pain syndromes and thus often requires a multidisciplinary approach to address the many facets of these conditions.

摘要

慢性口面部疼痛综合征对任何从业者来说都是一个诊断难题。患者常常被误诊,或者将他们的疼痛归因于先前的事件,如牙科手术、耳鼻喉问题或面部创伤。抑郁和焦虑的精神症状在这一人群中很普遍,这使得诊断难题更加复杂。与其他疼痛综合征相比,治疗效果较差,因此通常需要多学科方法来应对这些病症的诸多方面。

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引用本文的文献

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Pain in Oral and Maxillofacial Surgery and Implant Dentistry: Types and Management.口腔颌面外科与种植牙科的疼痛:类型与管理
Eur J Dent. 2021 Jul;15(3):588-598. doi: 10.1055/s-0041-1725212. Epub 2021 May 26.

本文引用的文献

1
Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) for Clinical and Research Applications: recommendations of the International RDC/TMD Consortium Network* and Orofacial Pain Special Interest Group†.颞下颌关节紊乱病(DC/TMD)的诊断标准(临床与研究用):国际 RDC/TMD 联合会*和口腔颌面痛特别兴趣小组†的推荐标准。
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管理医源性三叉神经损伤:病例系列和文献复习。
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Headache.头痛。
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What is this thing called pain?疼痛是什么?
J Clin Invest. 2010 Nov;120(11):3742-4. doi: 10.1172/JCI45178. Epub 2010 Nov 1.
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Frequency of nonodontogenic pain after endodontic therapy: a systematic review and meta-analysis.根管治疗后非牙源性疼痛的频率:系统评价和荟萃分析。
J Endod. 2010 Sep;36(9):1494-8. doi: 10.1016/j.joen.2010.06.020.
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Neuropathic pain: diagnosis, pathophysiological mechanisms, and treatment.神经病理性疼痛:诊断、病理生理机制与治疗。
Lancet Neurol. 2010 Aug;9(8):807-19. doi: 10.1016/S1474-4422(10)70143-5.
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Medical management of trigeminal neuropathic pains.三叉神经病理性疼痛的医学管理。
Expert Opin Pharmacother. 2010 Jun;11(8):1239-54. doi: 10.1517/14656561003767449.
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Symptomatic trigeminal autonomic cephalalgias.症状性三叉自主神经性头痛
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Efficacy and safety of 5% lidocaine (lignocaine) medicated plaster in comparison with pregabalin in patients with postherpetic neuralgia and diabetic polyneuropathy: interim analysis from an open-label, two-stage adaptive, randomized, controlled trial.5%利多卡因( lignocaine )药用贴剂与普瑞巴林治疗带状疱疹后神经痛和糖尿病性多发性神经病患者的疗效及安全性比较:一项开放标签、两阶段适应性、随机对照试验的中期分析
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