Gibilisco J A
Postgrad Med. 1984 Aug;76(2):121-4, 126-9, 132. doi: 10.1080/00325481.1984.11698696.
The majority of patients with chronic pain disorders involving the face and craniomandibular mechanism have so-called temporomandibular joint (TMJ) syndrome, atypical face pain, trigeminal neuralgia or neuropathy, or iatrogenic pain. The term "TMJ disorder" is often a misnomer, because the joint itself frequently is not implicated. Diagnosis requires persistent multidisciplined investigation. Initial treatment is aimed at relief of pain and restoration of function. Treatment may then be directed at the source of the problem. For patients with atypical face pain, a complete and detailed history must be obtained before further examination and treatment can be pursued. Trigeminal neuralgia and trigeminal neuropathy must be differentiated before treatment is initiated, because of major differences in therapy. Iatrogenic pain is most often the result of overtreatment.
大多数患有涉及面部和颅下颌机制的慢性疼痛障碍的患者患有所谓的颞下颌关节（TMJ）综合征、非典型面部疼痛、三叉神经痛或神经病变，或医源性疼痛。术语“TMJ紊乱”往往用词不当，因为关节本身常常与此无关。诊断需要持续的多学科调查。初始治疗旨在缓解疼痛和恢复功能。然后治疗可针对问题的根源。对于患有非典型面部疼痛的患者，在进行进一步检查和治疗之前必须获取完整而详细的病史。在开始治疗之前必须区分三叉神经痛和三叉神经病变，因为治疗方法存在重大差异。医源性疼痛最常见的原因是过度治疗。
