Maracineanu Raluca, Motoc Marilena, Talpos-Niculescu Roxana M, Ghircau-Radu Roxana, Talpos-Niculescu Serban, Pricop Marius O
Discipline of Oral and Maxillo-Facial Surgery, Victor Babeș University of Medicine and Pharmacy, Timișoara, Romania.
Discipline of Biochemistry, Victor Babeș University of Medicine and Pharmacy, Timișoara, Romania.
Cranio. 2025 Mar;43(2):253-257. doi: 10.1080/08869634.2022.2124613. Epub 2022 Oct 15.
Pterygoid hamulus syndrome, a painful oral and facial syndrome, has been described in literature to be correlated with morphological changes in the length of the pterygoid hamulus of the sphenoid bone.
The current case report describes the treatment for severe, continuous pain in the posterior right palate. Despite numerous conservative treatments given to the patient, no improvement was seen. Cone beam computed tomography (CBCT) measurements revealed an elongation as well as a significant medial deviation of the lower extremity of the medial pterygoid plate. The surgical resection was performed under local anesthesia. The pain subsided two days after the surgery, and there were no relapses in the weeks that followed.
The medial deviation of the hamulus appeared to be important in the etiology of this painful syndrome. Additional research based on CBCT measurements will be required.
翼钩综合征是一种口腔颌面部疼痛综合征，文献报道其与蝶骨翼钩长度的形态学改变相关。
本病例报告描述了一名患者右侧后腭部严重持续性疼痛的治疗情况。尽管对该患者进行了多种保守治疗，但均未见改善。锥形束计算机断层扫描（CBCT）测量显示翼突内侧板下肢伸长并明显向内侧偏移。在局部麻醉下进行了手术切除。术后两天疼痛缓解，在随后的几周内未复发。
钩突向内侧偏移似乎在这种疼痛综合征的病因中起重要作用。需要基于CBCT测量进行进一步研究。
