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Midfacial segment pain: implications for rhinitis and sinusitis.

Nick S Jones1

  • 1Department of Otorhinolaryngology, Head and Neck Surgery, Queen's Medical Centre, University Hospital, Nottingham, NG7 2UH United Kingdom. nick.jones@nottingham.ac.uk

Current Allergy and Asthma Reports
|April 2, 2004
PubMed
Summary
This summary is machine-generated.

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Midfacial segment pain is a distinct facial neuralgia presenting as pressure, similar to tension-type headache but localized to the midface. This condition often responds well to low-dose amitriptyline treatment.

Area of Science:

  • Neurology
  • Pain Medicine
  • Headache Disorders

Background:

  • Facial pain encompasses various conditions, including distinct neuralgias.
  • Midfacial segment pain is a recognized form of facial neuralgia.
  • It shares characteristics with tension-type headache but is localized to the midface.

Purpose of the Study:

  • To describe the clinical characteristics of midfacial segment pain.
  • To highlight diagnostic features and treatment outcomes for this condition.

Main Methods:

  • Clinical observation and case series.
  • Patient-reported pain characteristics.
  • Standard diagnostic evaluations including nasal endoscopy and CT scans.
  • Treatment response assessment with low-dose amitriptyline.

Related Experiment Videos

Main Results:

  • Midfacial segment pain presents as symmetric pressure in the midface, potentially with nasal blockage sensation.
  • Affected areas include the nasion, infraorbital regions, and cheeks.
  • Skin and soft tissue hyperesthesia may be present.
  • Nasal endoscopy and CT scans are typically normal.
  • Most patients show improvement with low-dose amitriptyline, often requiring up to 6 weeks.

Conclusions:

  • Midfacial segment pain is a specific clinical entity within facial pain syndromes.
  • Diagnosis relies on characteristic symptoms, as standard investigations are usually unremarkable.
  • Low-dose amitriptyline is an effective treatment option, necessitating patience for full effect.