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Related Experiment Videos

Intractable facial pain.

B Speculand, A N Goss, E Hallett

    The British Journal of Oral Surgery
    |November 1, 1979
    PubMed
    Summary
    This summary is machine-generated.

    Identifying intractable facial pain early is key. Factors like age over 40, long pain duration, prior surgeries, and psychiatric issues predict intractability, aiding faster diagnosis for chronic pain patients.

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    Area of Science:

    • Pain Medicine
    • Psychiatry
    • Epidemiology

    Background:

    • Intractable facial pain presents diagnostic challenges.
    • Understanding predictors of intractability is crucial for timely intervention.

    Purpose of the Study:

    • To identify clinical and historical factors associated with intractable facial pain.
    • To differentiate intractable facial pain from other pain conditions.
    • To estimate the incidence of intractable facial pain.

    Main Methods:

    • Retrospective analysis of 225 intractable pain patients.
    • Focused investigation on 29 cases of intractable facial pain.
    • Comparison with non-intractable facial pain and other intractable pain sites.

    Main Results:

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    • Significant predictors of intractable facial pain include age > 40, long pain duration, multiple surgeries, and psychiatric factors.
    • Temporomandibular joint dysfunction and atypical facial pain merge in the intractable state.
    • Intractable facial pain patients exhibit unique characteristics compared to those with pain at other sites.
    • Incidence in South Australia: 8 cases per million population per year.

    Conclusions:

    • Early psychiatric assessment may improve management of intractable facial pain.
    • Specific patient factors can alert clinicians to potential intractability.
    • Intractable facial pain has distinct features, including unilateral presentation and less daily impairment.