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An unusual clinical vignette of oro-pharyngeal discomfort: Pterygoid Hamulus syndrome

BACKGROUND: A straightforward clinical reasoning is always difficult in patients with persistent orofacial pain with vague symptoms. Craniofacial pain or Orofacial pain can have a mixture of causes ranging from neurogenic, myogenic, and psychogenic factors intertwined amidst the intricate anatomy wi...

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Autores principales: Firdouse, Ayasha, Firdoose, Nyer, Ghousia, S
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Iuliu Hatieganu University of Medicine and Pharmacy 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7418833/
https://www.ncbi.nlm.nih.gov/pubmed/32832898
http://dx.doi.org/10.15386/mpr-1459
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author Firdouse, Ayasha
Firdoose, Nyer
Ghousia, S
author_facet Firdouse, Ayasha
Firdoose, Nyer
Ghousia, S
author_sort Firdouse, Ayasha
collection PubMed
description BACKGROUND: A straightforward clinical reasoning is always difficult in patients with persistent orofacial pain with vague symptoms. Craniofacial pain or Orofacial pain can have a mixture of causes ranging from neurogenic, myogenic, and psychogenic factors intertwined amidst the intricate anatomy with a high vascular network. This plethora of uncertainty blurs the judgment for such patients to whom we provide care. We hereby present a case of a 17 year old female with vague pain on talking, chewing and even swallowing when initially examined; this chronic orofacial pain often worsened her quality of life. The aim of this manuscript is to present a case of Pterygoid Hamulus syndrome that was misdiagnosed as glossopharyngeal and myofascial neuralgia. METHODS: The condition was managed by surgical excision of the elongated pterygoid hamulus, following a recurrence of her symptoms. RESULTS: The patient was relieved of pain only after the surgical excision of the elongated hamulus. CONCLUSIONS: The surgery was decided upon only after conservative management had not provided much relief and the manuscript also discusses the ambiguous composite pain referral pattern in Pterygoid Hamulus syndrome.
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spelling pubmed-74188332020-08-20 An unusual clinical vignette of oro-pharyngeal discomfort: Pterygoid Hamulus syndrome Firdouse, Ayasha Firdoose, Nyer Ghousia, S Med Pharm Rep Case Report BACKGROUND: A straightforward clinical reasoning is always difficult in patients with persistent orofacial pain with vague symptoms. Craniofacial pain or Orofacial pain can have a mixture of causes ranging from neurogenic, myogenic, and psychogenic factors intertwined amidst the intricate anatomy with a high vascular network. This plethora of uncertainty blurs the judgment for such patients to whom we provide care. We hereby present a case of a 17 year old female with vague pain on talking, chewing and even swallowing when initially examined; this chronic orofacial pain often worsened her quality of life. The aim of this manuscript is to present a case of Pterygoid Hamulus syndrome that was misdiagnosed as glossopharyngeal and myofascial neuralgia. METHODS: The condition was managed by surgical excision of the elongated pterygoid hamulus, following a recurrence of her symptoms. RESULTS: The patient was relieved of pain only after the surgical excision of the elongated hamulus. CONCLUSIONS: The surgery was decided upon only after conservative management had not provided much relief and the manuscript also discusses the ambiguous composite pain referral pattern in Pterygoid Hamulus syndrome. Iuliu Hatieganu University of Medicine and Pharmacy 2020-07 2020-07-22 /pmc/articles/PMC7418833/ /pubmed/32832898 http://dx.doi.org/10.15386/mpr-1459 Text en This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (http://creativecommons.org/licenses/by-nc-nd/4.0/)
spellingShingle Case Report
Firdouse, Ayasha
Firdoose, Nyer
Ghousia, S
An unusual clinical vignette of oro-pharyngeal discomfort: Pterygoid Hamulus syndrome
title An unusual clinical vignette of oro-pharyngeal discomfort: Pterygoid Hamulus syndrome
title_full An unusual clinical vignette of oro-pharyngeal discomfort: Pterygoid Hamulus syndrome
title_fullStr An unusual clinical vignette of oro-pharyngeal discomfort: Pterygoid Hamulus syndrome
title_full_unstemmed An unusual clinical vignette of oro-pharyngeal discomfort: Pterygoid Hamulus syndrome
title_short An unusual clinical vignette of oro-pharyngeal discomfort: Pterygoid Hamulus syndrome
title_sort unusual clinical vignette of oro-pharyngeal discomfort: pterygoid hamulus syndrome
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7418833/
https://www.ncbi.nlm.nih.gov/pubmed/32832898
http://dx.doi.org/10.15386/mpr-1459
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