Firdouse Ayasha, Firdoose Nyer, Ghousia S
Department of General Clinical Dentistry, Rajiv Gandhi University of Health Sciences, Karimganj, India.
Oral Maxillofacial Surgeon, Dental Health Care & Research Unit, Gharonda, Bangalore, Karnataka, India.
Med Pharm Rep. 2020 Jul;93(3):306-309. doi: 10.15386/mpr-1459. Epub 2020 Jul 22.
A straightforward clinical reasoning is always difficult in patients with persistent orofacial pain with vague symptoms. Craniofacial pain or Orofacial pain can have a mixture of causes ranging from neurogenic, myogenic, and psychogenic factors intertwined amidst the intricate anatomy with a high vascular network. This plethora of uncertainty blurs the judgment for such patients to whom we provide care. We hereby present a case of a 17 year old female with vague pain on talking, chewing and even swallowing when initially examined; this chronic orofacial pain often worsened her quality of life. The aim of this manuscript is to present a case of Pterygoid Hamulus syndrome that was misdiagnosed as glossopharyngeal and myofascial neuralgia.
The condition was managed by surgical excision of the elongated pterygoid hamulus, following a recurrence of her symptoms.
The patient was relieved of pain only after the surgical excision of the elongated hamulus.
The surgery was decided upon only after conservative management had not provided much relief and the manuscript also discusses the ambiguous composite pain referral pattern in Pterygoid Hamulus syndrome.
对于症状模糊的持续性口面部疼痛患者，直接进行临床推理总是很困难。颅面痛或口面部疼痛可能由多种原因引起，包括神经源性、肌源性和心理性因素，这些因素在具有高血管网络的复杂解剖结构中相互交织。这种过多的不确定性模糊了我们对这类患者的诊断判断。我们在此介绍一例17岁女性患者，最初检查时，其在说话、咀嚼甚至吞咽时都有模糊的疼痛；这种慢性口面部疼痛常常使她的生活质量下降。本文的目的是介绍一例翼钩综合征被误诊为舌咽神经痛和肌筋膜神经痛的病例。
在症状复发后，通过手术切除延长的翼钩来治疗该疾病。
仅在手术切除延长的翼钩后，患者的疼痛才得以缓解。
只有在保守治疗效果不佳后才决定进行手术，本文还讨论了翼钩综合征中模糊的复合性疼痛牵涉模式。
