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疑似颞下颌关节紊乱症的面部疼痛离奇病例。

Curious Case of Facial Pain Mimicking Temporomandibular Disorder.

作者信息

Kv Arunkumar, Awana Kajal, Sharma Shubham, Iyer Vidya, Gupta Amit

机构信息

Oral and Maxillofacial Surgery, I.T.S. Centre for Dental Studies and Research, Ghaziabad, IND.

出版信息

Cureus. 2024 Jul 21;16(7):e65040. doi: 10.7759/cureus.65040. eCollection 2024 Jul.

Abstract

Facial pain is a common but complex complaint, frequently associated with dental issues or temporomandibular disorder (TMD). However, rare aetiologies can complicate conventional diagnoses and treatment approaches. We present a case of a 36-year-old male with persistent jaw pain and restricted mandibular movement, initially managed as a typical TMD case. Conventional treatments yielded no improvement, prompting advanced imaging, which identified an unusual mass within the lateral pterygoid muscle. A surgical excision of the mass was performed, and histopathological examination revealed a rare and unexpected diagnosis. This case highlights the importance of considering uncommon conditions in the differential diagnosis of TMD and facial pain to ensure timely and appropriate therapeutic interventions.

摘要

面部疼痛是一种常见但复杂的症状,常与牙齿问题或颞下颌关节紊乱症(TMD)相关。然而,罕见的病因可能会使传统的诊断和治疗方法变得复杂。我们报告一例36岁男性,患有持续性颌部疼痛和下颌运动受限,最初被当作典型的TMD病例进行处理。传统治疗未见改善,于是进行了高级影像学检查,结果发现翼外肌内有一个异常肿块。对该肿块进行了手术切除,组织病理学检查揭示了一个罕见且意外的诊断结果。该病例强调了在TMD和面部疼痛的鉴别诊断中考虑罕见病症的重要性,以确保及时且恰当的治疗干预。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb4a/11335035/f80089ac27e3/cureus-0016-00000065040-i01.jpg

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