尽管在诊断和治疗口面疼痛方面取得了长足的进步,面部神经痛,和肌筋膜疼痛功能障碍综合征对患者来说仍然是令人难以置信的累赘,并且对于提供者来说难以管理.颅内神经痛,肌筋膜疼痛综合征,颞下颌关节功能障碍(TMD),牙痛,肿瘤,神经血管疼痛,和精神疾病都可以表现出类似的症状。因此,一个病人寻求治疗他们的口面部疼痛往往是从错误的脚开始的,误诊或不必要的手术,这让他们更加沮丧。了解自然历史,临床表现,面部神经痛和肌筋膜疼痛功能障碍综合征的治疗可以帮助临床医生更好地认识和治疗这些疾病。在这篇文章中,我们回顾了关于病理生理学的最新知识,发病率,临床特征,诊断标准,和TN的医疗管理,GPN,GN,和MPDS。
Though there have been considerable strides in the diagnosis and care of orofacial pain disorders, facial neuralgias, and myofascial pain dysfunction syndrome remain incredibly cumbersome for patients and difficult to manage for providers. Cranial neuralgias, myofascial pain syndromes, temporomandibular dysfunction (TMD), dental pain, tumors, neurovascular pain, and psychiatric diseases can all present with similar symptoms. As a result, a patient\'s quest for the treatment of their orofacial pain often begins on the wrong foot, with a misdiagnosis or unnecessary procedure, which makes it all the more frustrating for them. Understanding the natural history, clinical presentation, and management of facial neuralgias and myofascial pain dysfunction syndrome can help clinicians better recognize and treat these conditions. In this article, we review updated knowledge on the pathophysiology, incidence, clinical features, diagnostic criteria, and medical management of TN, GPN, GN, and MPDS.