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Neuropathic orofacial pain: Characterization of different patient groups using the ICOP first edition, in a tertiary level Orofacial Pain Clinic.
Handa, Shruti; Keith, David A; Abou-Ezzi, Jeanelle; Rosèn, Annika.
Afiliación
  • Handa S; Instructor, Department of Surgery, Division of Oral and Maxillofacial Surgery, Massachusetts General Hospital and Harvard School of Dental Medicine, Boston, MA, USA. Electronic address: Shanda1@mgh.harvard.edu.
  • Keith DA; Professor, Department of Surgery, Division of Oral and Maxillofacial Surgery, Massachusetts General Hospital and Harvard School of Dental Medicine, Boston, MA, USA.
  • Abou-Ezzi J; Student, Department of Human Ecology, Cornell University, New York, NY, USA.
  • Rosèn A; Professor, Department of Clinical Dentistry, University of Bergen, Bergen, Norway; Department of Oral and Maxillofacial Surgery, Haukeland University Hospital, Bergen, Norway.
Article en En | MEDLINE | ID: mdl-34518134
OBJECTIVE: To characterize patients with chronic neuropathic orofacial pain in accordance with the International Classification of Orofacial Pain (ICOP first edition) criteria. STUDY DESIGN: A retrospective chart review of 108 patients was conducted. The most common categories observed were trigeminal neuralgia (TN) (25.9%), burning mouth syndrome (BMS) (11.1%), persistent idiopathic facial pain (PIFP) (26.9%), and posttraumatic trigeminal neuropathic pain (PTTNP) (26.9%); 9.3% of patients could not be categorized. RESULTS: TN and BMS was more prevalent in the sixth decade, and PIFP and PTTN were more prevalent in the fifth decade. All categories showed female predilection. The pain in TN was predominantly episodic, described as "sharp shooting" and like an "electric shock," unilateral and affecting the V2 division, and with trigger zones in 50% of patients. Pain in BMS was predominantly constant and described as "burning," with the tongue being the most common site. Pain in PIFP and PTTNP was as follows: varied from constant to episodic; described as "burning," "sharp shooting," "throbbing," or "dull aching"; intraoral or extraoral; and mostly involving the V2 or V3 division. CONCLUSION: This study is the first to characterize patients with neuropathic orofacial pain using the new ICOP criteria. PIFP and PTTNP were most commonly misdiagnosed categories. Using diagnostic criteria will increase the understanding of this patient group.
Asunto(s)

Texto completo: 1 Base de datos: MEDLINE Asunto principal: Neuralgia del Trigémino / Síndrome de Boca Ardiente / Neuralgia Tipo de estudio: Diagnostic_studies / Observational_studies Idioma: En Revista: Oral Surg Oral Med Oral Pathol Oral Radiol Año: 2021 Tipo del documento: Article

Texto completo: 1 Base de datos: MEDLINE Asunto principal: Neuralgia del Trigémino / Síndrome de Boca Ardiente / Neuralgia Tipo de estudio: Diagnostic_studies / Observational_studies Idioma: En Revista: Oral Surg Oral Med Oral Pathol Oral Radiol Año: 2021 Tipo del documento: Article