Cutri Raffaello M, Shakya Dejan, Shibata Seiji B
Keck School of Medicine, University of Southern California, 1537 Norfolk Street, Suite 5800, Los Angeles, CA 90033, USA.
Dornsife College of Letters, Arts and Science, University of Southern California, 1537 Norfolk Street, Suite 5800, Los Angeles, CA 90033, USA.
Otolaryngol Clin North Am. 2022 Jun;55(3):595-606. doi: 10.1016/j.otc.2022.02.006.
Though there have been considerable strides in the diagnosis and care of orofacial pain disorders, facial neuralgias, and myofascial pain dysfunction syndrome remain incredibly cumbersome for patients and difficult to manage for providers. Cranial neuralgias, myofascial pain syndromes, temporomandibular dysfunction (TMD), dental pain, tumors, neurovascular pain, and psychiatric diseases can all present with similar symptoms. As a result, a patient's quest for the treatment of their orofacial pain often begins on the wrong foot, with a misdiagnosis or unnecessary procedure, which makes it all the more frustrating for them. Understanding the natural history, clinical presentation, and management of facial neuralgias and myofascial pain dysfunction syndrome can help clinicians better recognize and treat these conditions. In this article, we review updated knowledge on the pathophysiology, incidence, clinical features, diagnostic criteria, and medical management of TN, GPN, GN, and MPDS.
尽管在口面部疼痛障碍的诊断和治疗方面已经取得了长足的进步，但面部神经痛和肌筋膜疼痛功能障碍综合征对患者来说仍然极其棘手，对医生来说也难以处理。颅神经痛、肌筋膜疼痛综合征、颞下颌关节功能紊乱（TMD）、牙痛、肿瘤、神经血管性疼痛和精神疾病都可能表现出相似的症状。因此，患者对口面部疼痛的治疗往往一开始就走错了路，出现误诊或接受不必要的治疗，这让他们更加沮丧。了解面部神经痛和肌筋膜疼痛功能障碍综合征的自然病程、临床表现和治疗方法，有助于临床医生更好地识别和治疗这些疾病。在本文中，我们回顾了关于三叉神经痛、舌咽神经痛、一般性神经痛和肌筋膜疼痛功能障碍综合征的病理生理学、发病率、临床特征、诊断标准和药物治疗的最新知识。
