Rihani A
J Prosthet Dent. 1985 Jan;53(1):97-100. doi: 10.1016/0022-3913(85)90075-7.
Maxillary sinusitis may be diagnosed incorrectly as TMJ pain-dysfunction syndrome because of a similarity of signs and symptoms. Both conditions can manifest with headache, facial pain radiating to the ear and the maxillary teeth, preauricular pain, and pain in the buccal vestibule posterior and superior to the maxillary tuberosity. It can be concluded that (1) more consideration should be given to sinus disturbances as a differential diagnosis in TMJ pain-dysfunction syndrome, (2) it may be preferable to refer some patients with TMJ pain to a medical center where specialists in dentistry, otolaryngology, neurology, rheumatology, and psychiatry can evaluate the patient, and (3) TMJ pain-dysfunction syndrome should be evaluated and treated by a dentist experienced in management of this disorder.
由于体征和症状相似，上颌窦炎可能被误诊为颞下颌关节疼痛功能紊乱综合征。这两种病症都可能表现为头痛、放射至耳部和上颌牙齿的面部疼痛、耳前疼痛以及上颌结节后方和上方颊前庭的疼痛。可以得出以下结论：（1）在颞下颌关节疼痛功能紊乱综合征的鉴别诊断中，应更多地考虑鼻窦病变；（2）对于一些患有颞下颌关节疼痛的患者，最好转诊至一个有牙科、耳鼻喉科、神经科、风湿病科和精神科专家的医疗中心，以便对患者进行评估；（3）颞下颌关节疼痛功能紊乱综合征应由有该病症治疗经验的牙医进行评估和治疗。
