Idiopathic facial pain
DOI:
https://doi.org/10.33295/1992-576X-2019-4-60Keywords:
face pain, neuralgia, antidepressants, ketorolacAbstract
Summary. Idiopathic facial pain is now regarded as a polyetiological syndrome, including myogenic or iatrogenic source of peripheral sensitization in the face, insufficiency of central pain management systems, and the presence of comorbid emotionally-affective disorders. Among patients with chronic pain, idiopathic facial pain accounts for 5.8 % of cases and was among the three most common causes of chronic prosopalgia. Pharmacotherapy is now more empirical, since controlled studies of the efficacy of drugs have not been conducted, antidepressants: phenelzine and doitiepin, which showed a moderate effect in the treatment of PIBO, are not currently available. Clinical experience shows that tricyclic antidepressants have the best effect. With exacerbation of pain, especially in the presence of a muscle component, some non-steroidal anti-inflammatory drugs, ketorolac and naproxen, have shown effectiveness. In particular, intranasal catrolac (Asprix) has shown high analgesic efficacy in our practice.
Key words: face pain, neuralgia, antidepressants, ketorolac.
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of Pain. New York, NY: Churchill Livingstone; 1984. pp. 173–177
2. Wall PD. Introduction. In: In: Wall PD, Melzack R, editor. Textbook of Pain. New
York, NY: Churchill Livingstone; 1984. pp. 1–16
3. Livingston WK. Pain Mechanisms. New York, NY: MacMillan; 1942
4. Bonica JJ. The Management of Pain. Philadelphia, PA: Lea and Febinger; 1953.
pp. 154–156
5. Waldman S. Atlas of Common Pain Syndromes. Philadelphia, PA: WB Saunders;
2002
6. Jannetta PJ. Arterial compression of the trigeminal nerve at the pons in patients
with trigeminal neuralgia. J Neurosurg. 1967; 26: 159–162. [PubMed]
7. Shelton ML.Working in a Very Small Space: The Making of a Neurosurgeon. New
York, NY: WW Norton; 1989.
8. Jannetta PJ. Neurovascular compression in cranial nerve and systemic disease.
Ann Surg. 1980; 192: 518–525. [PMC free article] [PubMed]
9. Sindou M, Leston J, Decullier E et al. Microvascular decompression for primary
trigeminal neuralgia: long-term effectiveness and prognostic factors in a series of 362 consecutive
patients with clear cut neurovascular conflicts who underwent pure decompression.
J Neurosurg. 2007; 107: 1144–1153. [PubMed]
10. Baker FG, Jannetta PJ, Bissonette DJ et al. The long-term outcome of microvascular
decompression for trigeminal neuralgia. N Engl J Med. 1996; 334: 1077–1083.
[PubMed]
11. Mackinnon SE, Dellon AL. Surgery of the Peripheral Nerve. New York, NY: Thieme
Medical Publishers; 1989
12. Dellon AL, Aszmann OC, Muse V. Collateral sprouting documentation using the
PSSD. Ann Plast Surg. 1996; 37: 520–525. [PubMed]
13. Dellon AL. Resection: nerve repair's most neglected technique. Plast Surg Techn.
1995; 1: 191–199
14. Zachary LS, Dellon AL, Seiler WA. IV Relationship of intraneural damage in the rat
sciatic nerve to the mechanism of injury. J Reconstr Microsurg. 1989; 5: 137–140. [PubMed]
15. Weber RA, Briedenbach WC, Brown RE et al. A randomized prospective of polyglycolic
acid conduits for digital nerve reconstruction in humans. Plast Reconstr Surg. 2000;
106: 1036–1045. [PubMed]
16. Crawley WA, Dellon AL. Inferior alveolar nerve reconstruction with a polyglycolic acid,
bioabsorbable nerve conduit: a case report. Plast Reconstr Surg. 1992; 90: 300–302. [PubMed]
17. Ducic I, Maloney CT, Dellon AL. Reconstruction of the spinal accessory nerve:
autograft or neurotube? Two case reports. J Reconstr Microsurg. 2005; 21: 29–33. [PubMed]
18. Navissano M, Malan F, Carnino R et al. Neurotube for facial nerve repair.Microsurgery.
2005; 25: 268–271. [PubMed]
19. Ramirez OM, Pozner JN. Endoscopically assisted supraorbital nerve neurolysis and
correction of eyebrow asymmetry. Plast Reconstr Surg. 1997; 100: 755–758 [PubMed]
20. Mackinnon SE, Dellon AL, Hudson AR et al. Alteration of neuroma formation by
manipulation of neural microenvironment. Plast Reconstr Surg. 1985; 76: 345–352.
[PubMed]
21. Dellon AL, Aszmann OC. Treatment of dorsal foot neuromas by translocation of
nerves into anterolateral compartment. Foot Ankle. 1998; 19: 300–303. [PubMed]
22. Dellon AL, Mackinnon S. Treatment of the painful neuroma by neuroma resection
and muscle implantation. Plast Reconstr Surg. 1986; 77: 427–436. [PubMed]
23. Evans GRD, Dellon AL. Implantation of the palmar cutaneous branch of the median
nerve into the pronator quadratus for treatment of painful neuroma. J Hand Surg [Am] 1994;
19: 203–206. [PubMed]
24. Mackinnon SE, Dellon AL. Results of treatment of recurrent dorsoradial wrist neuromas.
Ann Plast Surg. 1987; 19: 54–61. [PubMed]
25. Dellon AL, Maloney CT, Jr. Salvage of sensation in a hallux-to-thumb transfer by
nerve tube reconstruction. J Hand Surg [Am] 2006; 31: 1495–1498. [PubMed]
26. Evans GRD, Crawley W, Dellon AL. Inferior alveolar nerve grafting: an approach
without intermaxillary fixation. Ann Plast Surg. 1994; 33: 221–224. [PubMed]
27. Fogaзa WC, Fereirra MC, Dellon AL. Neurosensory testing in evaluation of infraorbital
nerve injuries associated with zygoma fracture. Plast Reconstr Surg. 2004; 113: 834–
838. [PubMed]
28. Price DD, McGrath PA, Rafii A, Buckingham B. The validation of visual analogue
scales as ratio scale measures for chronic and experimental pain. Pain.1983; 17: 45–56.
[PubMed]
29. Revill SI, Robinson JO, Rosen M, Hogg MI. The reliability of a linear analogue for
evaluating pain. Anaesthesia. 1976; 31: 1191–1198. [PubMed]
30. Dellon AL, Keller KM. Computer-assisted quantitative sensory testing in carpal and
cubital tunnel syndromes. Ann Plast Surg. 1997; 38: 493–502. [PubMed]
31. Rosenberg D, Conolley J, Dellon AL. Thenar eminence quantitative sensory testing
in diagnosis of proximal median nerve compression. J Hand Ther. 2001; 14: 258–265.
[PubMed]
32. Tassler PL, Dellon AL. Pressure perception in the normal lower extremity and in
tarsal tunnel syndrome. Muscle Nerve. 1996; 19: 285–289. [PubMed]
33. Okwueze MI, Spear ME, Zwyghuizen AM et al. Effect of augmentation mammaplasty
on breast sensation. Plast Reconstr Surg. 2006; 117: 73–83. [PubMed]
34. Mofid MM, Klatsky SA, Singh NK et al. Nipple-areola complex sensitivity after primary
breast augmentation: a comparison of periareolar and inframammary incision approaches.
Plast Reconstr Surg. 2006; 117: 1694–1698. [PubMed]
35. Dellon AL, Andonian E, De Jesus RA. Measuring sensibility of the trigeminal nerve.
Plast Reconstr Surg. 2007; 120: 1546–1550. [PubMed]
36. Costas PD, Heatley G, Seckel BR. Normal sensation of the human face and neck.
Plast Reconstr Surg. 1994; 93: 1141–1145. [PubMed]
37. Kesarwani A, Antonyshyn O, Mackinnon SE et al. Facial sensibility testing in the
normal and posttraumatic population. Ann Plast Surg. 1989; 22: 416–425. [PubMed]
38. Lawrence JE, Poole MD. Mid-facial sensation following craniofacial surgery.
Br J Plast Surg. 1992; 45: 519–522. [PubMed]
39. М.М. Орос, медична газета «Здоров’я України», «Хронічний біль обличчя»,
2016 р.
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Published
2019-10-16
How to Cite
Орос, М. М. (2019). Idiopathic facial pain. Actual Dentistry, (4), 60. https://doi.org/10.33295/1992-576X-2019-4-60
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Section
MAXILLOFACIAL SURGERY AND SURGICAL DENTISTRY
