149 results match your criteria Persistent Idiopathic Facial Pain


Neuromodulation for trigeminal neuralgia.

J Korean Neurosurg Soc 2022 May 16. Epub 2022 May 16.

Incheon St. Mary's Hospital, The Catholic University of Korea, Incheon, Korea.

Clinical studies on neuromodulation intervention for trigeminal neuralgia have not yet shown promising results. This might be due to the fact that the pathophysiology of chronic trigeminal neuropathy is not yet fully understood. Chronic trigeminal neuropathy includes trigeminal autonomic neuropathy, painful trigeminal neuropathy, and persistent idiopathic facial pain. Read More

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Intrathecal Morphine Infusion for Trigeminal Deafferentation Pain Following Percutaneous Intervention for Unexplained Facial Pain: A Case Report.

Korean J Neurotrauma 2022 Apr 1;18(1):116-125. Epub 2022 Apr 1.

Department of Neurosurgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.

Chronic pain in painful post-traumatic trigeminal neuropathy, formerly called trigeminal deafferentation pain (TDP) or anesthesia dolorosa, is virtually incurable neuropathic pain. In severe cases, no effective method has yet been established. A 58-year-old woman presented with chronic dysesthetic pain in the right side of her face that had persisted for 8 years. Read More

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Efficacy and tolerability in patients with chronic facial pain of two consecutive treatment periods of rTMS applied over the facial motor cortex, using protocols differing in stimulation frequency, duration, and train pattern.

Neurophysiol Clin 2022 Apr 24;52(2):95-108. Epub 2022 Mar 24.

Department of Neurosurgery, Kuopio University Hospital, Kuopio, Finland; University of Oulu, Oulu, Finland; Department of Neurosurgery, Oulu University Hospital, Oulu, Finland.

Objective: We conducted an open-label cross-over study assessing the global effect of two high-frequency protocols of electric-field navigated repetitive transcranial magnetic stimulation (rTMS) targeted to functional facial motor cortex and comparing their efficacy and tolerability in patients with chronic facial pain. Outcome predictors were also assessed.

Methods: We randomized twenty consecutive patients with chronic facial pain (post-traumatic trigeminal neuropathic pain, n=14; persistent idiopathic facial pain, n=4; secondary trigeminal neuralgia, n=2) to receive two distinct 5-day rTMS interventions (10Hz, 2400 pulses and 20Hz, 3600 pulses) separated by six weeks. Read More

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Atypical facial pain after cranioplasty: A too perfect design?: Dolor facial atípico asociado a craneoplastia: ¿un encaje demasiado perfecto?

Neurocirugia (Astur : Engl Ed) 2022 Mar 4. Epub 2022 Mar 4.

Servicio de Neurocirugía, Hospital Universitario Donostia, San Sebastián, Spain.

Cranioplasty is a procedure routinely performed in neurosurgery. It is associated with significant morbidity and several types of postsurgical complications. The most common are infections, bone flap resorption and hematomas. Read More

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Association Between Coping Strategies and Pain-Related Outcomes Among Individuals with Chronic Orofacial Pain.

J Pain Res 2022 11;15:431-442. Epub 2022 Feb 11.

Integrated Brain Health Clinical and Research Program, Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.

Background: Chronic orofacial pain is associated with substantial pain-related disability and emotional distress. Understanding the relationship between individuals' coping strategies and pain-related outcomes is important yet understudied in this population.

Purpose: To test the cross-sectional association of three coping strategies (pain catastrophizing, kinesiophobia and mindfulness) to four pain-related outcomes (depression, anxiety, pain intensity, and pain-related disability) among individuals with chronic orofacial pain, after accounting for relevant demographic and clinical variables. Read More

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February 2022

Persistent idiopathic facial pain treated with botulinum toxin and pulsed radiofrequency of infraorbital nerve: a case report.

J Dent Anesth Pain Med 2022 Feb 24;22(1):67-70. Epub 2022 Jan 24.

Department of Anaesthesiology, Vinayaka Missions Medical College, Vinayaka Missions Research Foundation, Karaikal, Puducherry, India.

Persistent idiopathic facial pain is a rare and difficult condition to treat. Several pharmacological, non-pharmacological, and invasive treatment options have been used, with varying results. We report the case of a patient with intractable persistent idiopathic facial pain who responded favorably to a combination of botulinum toxin injections and pulsed radiofrequency treatment of the infraorbital nerve. Read More

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February 2022

A Trigeminal Neuropathy From an Inactive Hepatocellular Carcinoma.

Cureus 2021 Dec 10;13(12):e20340. Epub 2021 Dec 10.

Pathology, Aster Medcity, Kochi, IND.

Breast, lung, prostate, thyroid, and kidney carcinomas are the primary tumors that are known to have bony metastasis. Hepatocellular carcinoma (HCC) frequently involves the lung and lymph nodes and less commonly the osseous system. Numbness/persistent pain in the distribution of the trigeminal nerve is more likely a neuropathy. Read More

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December 2021

Trigeminal neuralgia and persistent idiopathic facial pain (atypical facial pain).

Dis Mon 2022 06 10;68(6):101302. Epub 2022 Jan 10.

Departmentts of Anesthesilogy, Family Medicine, Pharrmacology, Rush University Medical College, Chicago Illinois, USA.

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Foreword for: Trigeminal neuralgia and persistent idiopathic facial pain (Atypical facial pain).

Authors:
Robert L Barkin

Dis Mon 2022 06 29;68(6):101301. Epub 2021 Dec 29.

Professor, Departments of Anesthesiology, Family Medicine, Pharrmacology, Rush University Medical College Chicago, Illinois USA.

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Patients with persistent idiopathic dentoalveolar pain in dental practice.

Int Endod J 2022 Mar 2;55(3):231-239. Epub 2021 Dec 2.

Clinic of Conservative and Preventive Dentistry, Center of Dental Medicine, University of Zurich, Zurich, Switzerland.

Aim: To assess whether persistent idiopathic dentoalveolar pain (PIDAP), a diagnosis of exclusion, exhibits common features that can facilitate its diagnosis. PIDAP is defined by the International Classification of Orofacial Pain (ICOP 6.3. Read More

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Characteristics and natural disease history of persistent idiopathic facial pain, trigeminal neuralgia, and neuropathic facial pain.

Headache 2021 10 7;61(9):1441-1451. Epub 2021 Oct 7.

Department of Systems Neuroscience, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Objective: This study aimed to characterize key features, and to assess the clinical development of common nondental facial pain syndromes such as persistent idiopathic facial pain (PIFP), trigeminal neuralgia (TN), and neuropathic facial pain (NEUROP).

Methods: This is a longitudinal study in which prospective questionnaire data of patients presenting to a specialized outpatient clinic were collected from 2009 to 2019. A telephone interview was conducted with the same patients in 2020 to assess the natural disease history. Read More

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October 2021

Management of chronic idiopathic pain in patients with dental implant without a clear pathological lesion: A retrospective study.

J Oral Implantol 2021 Sep 14. Epub 2021 Sep 14.

Kyungpook National University School of Dentistry Oral & Maxillofacial Surgery 2177 Dalgubeol Daero KOREA, REPUBLIC OF Daegu Daegu 41940 +82-53-426-5365 Kyungpook National University School of Dentistry.

Non-nociceptive, persistent idiopathic facial pain (PIFP) is a poorly localized, continuous dull pain that occurs even in the absence of apparent pathological lesions or clinical neurologic deficiency. This study aimed to investigate the disease characteristics of PIFP that developed after dental implant treatments. The clinical characteristics of pain as well as treatment method and outcomes were retrospectively analyzed in 20 patients diagnosed with PIFP. Read More

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September 2021

Neuropathic orofacial pain: Characterization of different patient groups using the ICOP first edition, in a tertiary level Orofacial Pain Clinic.

Oral Surg Oral Med Oral Pathol Oral Radiol 2021 12 31;132(6):653-661. Epub 2021 Jul 31.

Professor, Department of Clinical Dentistry, University of Bergen, Bergen, Norway; Department of Oral and Maxillofacial Surgery, Haukeland University Hospital, Bergen, Norway.

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. Read More

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December 2021

[Smarter Medicine in Headache Care - presentation and discussion of 5 recommendations].

Ther Umsch 2021 Sep;78(7):341-348

Klinik für Neurologie, Universitätsspital Zürich.

Smarter Medicine in Headache Care - presentation and discussion of 5 recommendations An unequivocal headache diagnosis cannot always be made. The lack of diagnostic tests able to prove primary headaches often prompts physicians to perform unnecessary examinations to reduce their uncertainty. When setting out the therapeutic strategy, again, insecurity often leads to mendable choices. Read More

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September 2021

Does persistent idiopathic facial pain relate to mood (affective) disorders.

Quintessence Int 2021 Oct;52(10):888-895

Objective: Persistent idiopathic facial pain (PIFP) is a condition in the absence of clear pathology. Pathogenesis is still enigmatic, although comorbidity with mood/affective disorders is observed. The aim of this study was to investigate the association between personality traits, mood and sleep disorders, and PIFP; and to compare them with posttraumatic chronic orofacial pain. Read More

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October 2021

The Role of Facial Expression Analysis and Electrodermal Activity as an Objective Evaluation of Persistent Idiopathic Facial Pain.

J Craniofac Surg 2022 Jan-Feb 01;33(1):e14-e16

Department of Oral-Maxillofacial Surgery, Lithuanian University of Health Sciences.

Abstract: Persistent idiopathic facial pain (PIFP) is an enigmatic condition presenting with variable features. Psychiatric comorbidities are speculated to influence PIFP.In this study, the authors evaluated patients with PIFP through the hospital anxiety and depression scale, facial expression analysis, and electrodermal activity. Read More

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January 2022

Acute and Chronic Pain from Facial Skin and Oral Mucosa: Unique Neurobiology and Challenging Treatment.

Int J Mol Sci 2021 May 28;22(11). Epub 2021 May 28.

Health Science Center at San Antonio, Programs in Integrated Biomedical Sciences, Department of Oral & Maxillofacial Surgery, School of Dentistry, Translational Sciences, Biomedical Engineering and Radiological Sciences, University of Texas, San Antonio, TX 78229, USA.

The oral cavity is a portal into the digestive system, which exhibits unique sensory properties. Like facial skin, the oral mucosa needs to be exquisitely sensitive and selective, in order to detect harmful toxins versus edible food. Chemosensation and somatosensation by multiple receptors, including transient receptor potential channels, are well-developed to meet these needs. Read More

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Idiopathic Facial Pain Syndromes–An Overview and Clinical Implications.

Dtsch Arztebl Int 2021 02;118(6):81-87

Institute of Systems Neurosciences, University Medical Center Hamburg-Eppendorf, Hamburg, Germany; Department of Periodontics, Preventive and Restorative Dentistry, University Medical Center Hamburg-Eppendorf, Hamburg, Germany; Department of Oral and Maxillofacial Surgery (MKG), University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Background: Idiopathic facial pain syndromes are relatively rare. A uniform classification system for facial pain became available only recently, and many physicians and dentists are still unfamiliar with these conditions. As a result, patients frequently do not receive appropriate treatment. Read More

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February 2021

Facial pain beyond trigeminal neuralgia.

Curr Opin Neurol 2021 06;34(3):373-377

Wolfson Centre for Age-Related Diseases, Institute of Psychiatry, Psychology and Neuroscience, King's College London.

Purpose Of Review: Trigeminal neuralgia is a well-known facial pain syndrome with several treatment options. In contrast, non-neuralgiform idiopathic facial pain syndromes are relatively rare, reflected by the fact that, until 2020, no internationally accepted diagnostic classification existed. Like trigeminal neuralgia, these non-dental facial pain syndromes need to be managed by neurologists and pain specialists, but the lack of pathophysiological understanding has resulted in an underrepresented and undertreated patient group. Read More

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Oral appliances in the management of neuropathic orofacial pain: A retrospective case series.

Oral Dis 2022 Apr 9;28(3):805-812. Epub 2021 Mar 9.

Division of Oral Medicine and Dentistry, Brigham and Women's Hospital, Boston, MA, USA.

Objective: Neuropathic orofacial pain disorders are frequently managed with topical or systemic medications that carry a risk of dangerous side effects such as drowsiness, disorientation, and/or physical addiction. The aim of this paper is to report the use of neurosensory oral appliances as a safe means of providing symptomatic relief for neuropathic orofacial pain.

Study Design: This is a retrospective chart review of patients with diagnoses of persistent idiopathic facial pain (PIFP), painful post-traumatic trigeminal neuropathy (PTTN), or an oral dysesthesia, who utilized neurosensory appliances with or without the use of topical anesthetic gel. Read More

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Evaluation of patients suffered from burning mouth syndrome and persistent idiopathic facial pain using Japanese version PainDETECT questionnaire and depression scales.

J Dent Sci 2021 Jan 7;16(1):131-136. Epub 2020 Jul 7.

Department of Anesthesiology, School of Dentistry, Aichi Gakuin University, Japan.

Background/purpose: Various questionnaires have been validated as methods for screening of neuropathic pain, but none have been established for the orofacial region. Although chronic pain and depression are likely to comorbid, few studies have examined the relationship between orofacial chronic pain and depression. Therefore, we evaluated the potential of the Japanese Version of PainDETECT as an assessment tool for neuropathic pain associated with burning mouth syndrome (BMS) and persistent idiopathic facial pain (PIFP). Read More

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January 2021

Characterization of head and neck pain symptoms of patients presenting to a tertiary care pain clinic.

Cranio 2020 Dec 19:1-6. Epub 2020 Dec 19.

Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Istanbul University, Istanbul, Turkey.

To characterize the presentation and symptomatology of individuals presenting with pain in head and neck regions. A retrospective chart-review was performed on patients with pain in the HFN presenting to a tertiary pain center in Turkey between January 2016 and January 2017. Information regarding the characteristics of pain and medical and treatment history were extracted and reviewed. Read More

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December 2020

When orofacial pain needs a heart repair.

Clin Exp Dent Res 2021 04 28;7(2):263-267. Epub 2020 Nov 28.

Department of Neurosciences, Reproductive and Odontostomatological Sciences, University Federico II of Naples, Naples, Italy.

Objectives: The association of chronic orofacial pain (COFP) and congenital heart disease has never previously been reported. We report the first case of COFP secondary to a right-to-left shunt (RLS) due to asymptomatic patent foramen ovale (PFO) in a patient with prothrombotic states.

Materials And Methods: A 48-year-old female patient presented with a 10-month history of left-sided facial pain who was initially diagnosed with persistent idiopathic facial pain (PIFP) on account of its similar characteristics. Read More

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Outcomes of Occipital Nerve Stimulation for Craniofacial Pain Syndromes.

Can J Neurol Sci 2021 09 25;48(5):690-697. Epub 2020 Nov 25.

University of Calgary, Department of Clinical Neurosciences and Hotchkiss Brain Institute, Calgary, Alberta, Canada.

Objectives: Occipital nerve regional stimulation (ONS) is reported to improve pain in several studies. We examined long-term pain and functional outcomes of ONS in an open-label prospective study.

Methods: Patients with medically refractory and disabling craniofacial pain were prospectively selected for ONS. Read More

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September 2021

Challenges of Misdiagnosis and Suboptimal Treatment of Persistent Idiopathic Facial Pain and Atypical Odontalgia: A Retrospective Multi-Centric Cross-Sectional Investigation.

J Pain Res 2020 10;13:2853-2860. Epub 2020 Nov 10.

Department of Pain Management, Beijing Tiantan Hospital, Capital Medical University, Beijing, People's Republic of China.

Purpose: To explore the challenges faced in the diagnosis and treatment of atypical odontalgia (AO) and other persistent idiopathic facial pain (PIFP).

Patients And Methods: This retrospective multi-centric cross-sectional study utilized clinical information (eg, clinical manifestations, history of consultations and treatments prior to correct diagnoses) from patients' medical records. Their economic parameters were also extracted from medical insurance databases. Read More

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November 2020

Altered trigeminal pain processing on brainstem level in persistent idiopathic facial pain.

Pain 2021 05;162(5):1374-1378

Department of Systems Neuroscience, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Abstract: Persistent idiopathic facial pain (PIFP) is a poorly understood chronic pain syndrome of the face, formerly known as atypical facial pain. It is characterized by a constant painful sensation without neurological abnormalities and without clinically objectifiable cause. Similarities to neuropathic pain conditions have been discussed and are currently thought to be relevant for the pathophysiology of this disease. Read More

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Orofacial pain education in dentistry: A path to improving patient care and reducing the population burden of chronic pain.

J Dent Educ 2021 Mar 23;85(3):349-358. Epub 2020 Oct 23.

Department of Geriatric Dentistry, Osaka Dental University, Osaka, Japan.

Dentists stand in an optimal position to prevent and manage patients suffering from chronic orofacial pain (OFP) disorders, such as temporomandibular disorders, burning mouth syndrome, trigeminal neuralgia, persistent idiopathic dentoalveolar pain, among others. However, there are consistent reports highlighting a lack of knowledge and confidence in diagnosing and treating OFP among dental students, recent graduates, and trained dentists, which leads to misdiagnosis, unnecessary costs, delay in appropriate care and possible harm to patients. Education in OFP is necessary to improve the quality of general dental care and reduce individual and societal burden of chronic pain through prevention and improved quality of life for OFP patients. Read More

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Chronic Facial Pain: Trigeminal Neuralgia, Persistent Idiopathic Facial Pain, and Myofascial Pain Syndrome-An Evidence-Based Narrative Review and Etiological Hypothesis.

Authors:
Robert Gerwin

Int J Environ Res Public Health 2020 09 25;17(19). Epub 2020 Sep 25.

Department of Neurology School of Medicine, Johns Hopkins University, Baltimore, MD 21287, USA.

Trigeminal neuralgia (TN), the most common form of severe facial pain, may be confused with an ill-defined persistent idiopathic facial pain (PIFP). Facial pain is reviewed and a detailed discussion of TN and PIFP is presented. A possible cause for PIFP is proposed. Read More

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September 2020

Clinical presentations on a facial pain clinic.

Br Dent J 2020 Sep 11. Epub 2020 Sep 11.

Sheffield Teaching Hospitals NHS Foundation Trust, Oral Surgery, Charles Clifford Dental Hospital, 76 Wellesley Road, Sheffield, South Yorkshire, S10 2SZ, UK; Department of Oral and Maxillofacial Surgery, School of Clinical Dentistry, University of Sheffield, Charles Clifford Dental Hospital, Wellesley Road, Sheffield, S10 2TA, UK.

Introduction The complex nature of facial pain conditions creates a diagnostic challenge which may necessitate specialist referral.Aim To identify the case mix presenting to a specialist tertiary care facial pain clinic.Methods A retrospective review of 112 patient records was undertaken. Read More

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September 2020