de Leeuw Reny, Fernandez-Vial Diego
Division Orofacial Pain, University of Kentucky College of Dentistry, Kentucky Clinic, Second Floor, Wing C, Room E214, 740 South Limestone, Lexington, KY 40536-0284, USA.
Division Orofacial Pain, University of Kentucky College of Dentistry, Kentucky Clinic, Second Floor, Wing C, Room E214, 740 South Limestone, Lexington, KY 40536-0284, USA.
Dent Clin North Am. 2023 Jan;67(1):173-185. doi: 10.1016/j.cden.2022.07.013.
This presentation describes a patient's extensive and expensive search for relief of pain in the orofacial area. The journey includes many diagnostic errors and failed and likely unnecessary treatments. A systematic approach to problem definition and rule-out reasoning for the differential diagnoses based on the International Classification of Orofacial Pain is described. Conservative treatment was implemented with satisfactory results. Common pitfalls in the management and treatment of complex pain patients are discussed.
本报告描述了一位患者在口面部区域进行的广泛且昂贵的止痛探索历程。这一过程包含许多诊断失误以及失败且可能不必要的治疗。文中描述了一种基于国际口面部疼痛分类对问题进行定义以及对鉴别诊断进行排除推理的系统方法。实施了保守治疗并取得了令人满意的效果。还讨论了复杂疼痛患者管理和治疗中常见的陷阱。
