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DOI: 10.1055/s-0038-1628489
Symptomatische Gesichtsschmerzen
Erkennen und richtig behandelnSymptomatic facial painHow to recognize and treatPublication History
eingegangen am:
19 October 2012
angenommen am:
19 October 2012
Publication Date:
22 January 2018 (online)
Zusammenfassung
Akute orofaziale Schmerzen sind oft symptomatisch und betreffen am ehesten die Zähne. Bei zusätzlichem Fieber stehen Sinusitiden an erster Stelle. Wenn neurologische Ausfälle hinzukommen, muss an eine Karotisdissektion oder einen intrakraniellen Prozess gedacht werden. Bei chronischen Gesichtsschmerzen stehen Probleme des temporomandibulären Gelenks im Vordergrund. Im folgenden Artikel gehen wir auf verschiedene Formen symptomatischer Gesichtsschmerzen ein. Wir diskutieren häufigere und seltenere Krankheitsbilder anhand von klinischen Vignetten und weisen auf diagnostische Schritte und therapeutische Empfehlungen hin.
Summary
Acute orofacial pain is often symptomatic and most likely affecting the teeth. If additional fever is present one has to think on sinusitis. In combination with neurological deficits a carotid dissection or an intracranial process must not been missed. Chronic orofacial pain often originates in the temporomandibular joint. In the following article we look at various forms of symptomatic facial pain. We discuss frequent and rare diseases based on case illustrations and provide diagnostic and therapeutic recommendations.
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