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Updated: Jan 31, 2026
09:35
Subcutaneous Trigeminal Nerve Field Stimulation for Refractory Facial Pain
Published on: May 10, 2017
19.6K
Facial pain: sinus or not?
E De Corso1, M Kar2, E Cantone3
1Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy.
Summary
Facial pain diagnosis is challenging, often leading to incorrect rhinosinusitis attribution and ineffective treatments. This review clarifies sinogenic versus non-sinogenic facial pain to improve differential diagnosis and patient care.
Area of Science:
- Otolaryngology
- Neurology
- Pain Medicine
Background:
- Facial pain presents significant diagnostic and therapeutic challenges, frequently leading to misdiagnosis as rhinosinusitis.
- Many patients undergo repeated consultations and treatments, including surgery, often without accurate etiological consideration.
- Persistent facial pain post-endoscopic sinus surgery (ESS) highlights the need to differentiate sinogenic from non-sinogenic causes.
Purpose of the Study:
- To clarify diagnostic criteria for facial pain.
- To improve discrimination between sinogenic and non-sinogenic facial pain.
- To provide clinical and diagnostic criteria for differential diagnosis.
Main Methods:
- Literature review focusing on diagnostic challenges in facial pain.
- Analysis of overlapping symptoms between neurological and sinus diseases.
- Synthesis of clinical and diagnostic criteria for differentiating facial pain etiologies.
Main Results:
- Facial pain is often misattributed to rhinosinusitis, leading to inappropriate interventions.
- Neurological and sinus conditions can present with similar symptoms and frequently co-exist.
- Accurate etiological diagnosis is crucial to prevent persistent pain after interventions like ESS.
Conclusions:
- Distinguishing sinogenic from non-sinogenic facial pain is critical for effective treatment.
- Clinicians require clear diagnostic criteria to address the differential diagnosis of facial pain.
- Improved diagnostic accuracy can reduce inappropriate treatments and improve patient outcomes for facial pain.
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