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现代急性面痛治疗方法。

Modern Approaches to the Treatment of Acute Facial Pain.

机构信息

Department of Neurosurgery, Cantonal Hospital of Aarau, Aarau, Switzerland.

Faculty of Medicine, University of Bern, Bern, Switzerland.

出版信息

Curr Pain Headache Rep. 2024 Aug;28(8):793-801. doi: 10.1007/s11916-024-01260-4. Epub 2024 May 7.

Abstract

PURPOSE OF REVIEW

Acute facial pain presents a complex challenge in medical practice, requiring a comprehensive and interdisciplinary approach to its management. This narrative review explores the contemporary landscape of treating acute facial pain, delving into pharmacological, non-pharmacological, and advanced interventions. The significance of tailored treatment strategies, rooted in the diverse etiologies of facial pain, such as dental infections, trigeminal neuralgia, temporomandibular joint disorders, sinusitis, or neurological conditions like migraines or cluster headaches, is underscored. We particularly emphasize recent advances in treating trigeminal neuralgia, elucidating current treatment concepts in managing this particular acute facial pain.

RECENT FINDINGS

Recent research sheds light on various treatment modalities for acute facial pain. Pharmacotherapy ranges from traditional NSAIDs and analgesics to anticonvulsants and antidepressants. Non-pharmacological interventions, including physical therapy and psychological approaches, play pivotal roles. Advanced interventions, such as nerve blocks and surgical procedures, are considered in cases of treatment resistance. Moreover, we explore innovative technologies like neuromodulation techniques and personalized medicine, offering promising avenues for optimizing treatment outcomes in acute facial pain management. Modern management of acute facial pain requires a nuanced and patient-centric approach. Tailoring treatment strategies to the individual's underlying condition is paramount. While pharmacotherapy remains a cornerstone, the integration of non-pharmacological interventions is essential for comprehensive care. Advanced interventions should be reserved for cases where conservative measures prove inadequate. Furthermore, leveraging innovative technologies and personalized medicine holds promise for enhancing treatment efficacy. Ultimately, a holistic approach that considers the diverse needs of patients is crucial for effectively addressing acute facial pain.

摘要

目的综述

急性面部疼痛在医学实践中提出了一个复杂的挑战,需要综合和跨学科的方法来管理。本综述探讨了治疗急性面部疼痛的当代格局,深入研究了药理学、非药理学和先进干预措施。强调了基于面部疼痛的不同病因(如牙齿感染、三叉神经痛、颞下颌关节紊乱、鼻窦炎或偏头痛或丛集性头痛等神经学状况)制定量身定制的治疗策略的重要性。我们特别强调了治疗三叉神经痛的最新进展,阐明了目前管理这种特殊急性面部疼痛的治疗概念。

最新发现

最近的研究揭示了急性面部疼痛的各种治疗方法。药物治疗范围从传统的 NSAIDs 和镇痛药到抗惊厥药和抗抑郁药。非药物干预措施,包括物理治疗和心理方法,起着关键作用。在治疗抵抗的情况下,会考虑使用先进的干预措施,如神经阻滞和手术。此外,我们还探索了神经调节技术和个性化医学等创新技术,为优化急性面部疼痛管理的治疗效果提供了有前途的途径。

急性面部疼痛的现代管理需要一种细致入微和以患者为中心的方法。根据个体的潜在病情定制治疗策略至关重要。虽然药物治疗仍然是一个基石,但非药物干预的整合对于全面护理至关重要。先进的干预措施应仅保留用于保守措施不足的情况。此外,利用创新技术和个性化医学有望提高治疗效果。最终,考虑患者多样化需求的整体方法对于有效解决急性面部疼痛至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a65/11272677/d75d2c47e48c/11916_2024_1260_Fig1_HTML.jpg

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