Department of Family Medicine and Infectious Diseases, University of Warmia and Mazury, Olsztyn, Poland.
Department of Otolaryngology, University of Malta, Msida, Malta.
Cephalalgia. 2024 Jan;44(1):3331024231226176. doi: 10.1177/03331024231226176.
Despite its inclusion in the International Classification of Orofacial Pain, tension-type orofacial pain has little support in the scientific literature. However, a similar-in-phenotype orofacial pain perceived in the middle segment of the face has been described by few case series from mostly ear, nose and throat clinics. The authors of these descriptions used the term 'midfacial segment pain'. Patients had no significant sinonasal disorder in these studies, but experienced symmetrical pain perceived mostly over the maxillary and ethmoid sinuses. No aura or autonomic symptoms were present apart from mild nasal congestion or rhinorrhoea in some individuals. This description appears similar to tension-type headache, but with midfacial location. In this viewpoint, we indicate a need to fill this gap in scientific knowledge and propose a multicentre interdisciplinary study that would give a detailed description of this type of orofacial pain.
尽管紧张型颌面痛被纳入国际颌面痛分类，但在科学文献中，其支持证据很少。然而，少数来自耳鼻喉科诊所的病例系列报道了一种表型相似的发生在面部中段的颌面痛。这些描述的作者使用了“中面部段痛”一词。在这些研究中，患者没有明显的鼻-鼻窦疾病，但经历了对称性疼痛，主要位于上颌窦和筛窦。除了一些人出现轻微的鼻塞或流涕外，没有出现先兆或自主症状。这种描述类似于紧张型头痛，但疼痛部位在中面部。在本观点中，我们指出需要填补这一科学知识空白，并提出一项多中心跨学科研究，详细描述这种类型的颌面痛。
