No abstract available.
Facial Pain

We investigated the possible association between depression, anxiety, severity of recent stress in patients with myofascial paul, with chronic myofacial pain syndrome. On the initial visit, 30 subjects completed the following psychometiic battery Beck Depression Inventory, Spielberger State-Trait Anxiety Inventory and Global Assessment of Recent Stress. As compared with the neurosis control group and the healthy control group, the results were as follows: 1) The myofascial paul group showed higher scores than the healthy controls but lower than the neurosis controls, in the Spielberger State-Trait Anxiety Inventory. 2) The myofascial pain group showed higher scores than the healthy controls but lower than the neurosis controls, in the total score of Beck Depression Inventory. 3) The myofascial pain group showed higher scores than the healthy controls but lower than the neurosis controls, in the score of Global Assessment of Recent Stress. 4) In the factor analysis of Beck Depression Inventory, the myofascial pain group showed significantly higher scores than the healthy controls but lower than the neurosis control in the somatic symptom subscale. However, there were no significant differences among the myofascial pain group and other control groups in the other subscales. These findings suggest that the myofacial pain group is more anxious and depressed and more preoccupied with their somatic symptoms due to their myofacial pain and more stressed in recent periods. The authors propose that the psychiatric management is helpful in intervening with the progression of myofacial pain.
Anxiety ; Depression ; Facial Neuralgia ; Facial Pain ; Humans ; Myofascial Pain Syndromes*

Background and Objective of the Study : Trigeminal neuralgia (TN) affects 4-5 people per 100,000 population. Because of its key feature - sudden intense facial pain, immediate and long-term treatment is warranted. The newly validated Penn Facial Pain Scale (PFPS) is of great value for assessment of how trigeminal pain and its treatment affect our patients’ lives. This study translated the PFPS to a Filipino version which can be used with ease in our setting. Methodology Study Design Validity Study Methods : Forward translation was carried out by an expert. The initial output was sent to 10 Neurologists for content and face validity. The experts rated each item’s relevance and through item level content validity index, items which scored >0.80 were accepted and those that scored lower were subjected to discussion by the investigators. The revised questionnaire was then administered to 8 TN patients for face validity. The fi nal output was back translated and compared to the original PFPS. Results Content and face validity as assessed by 10 neurologists showed that all questions were relevant. Some words were edited according to their suggestions. Eight TN patients voluntarily answered the edited version of the questionnaire for face validity and cognitive debriefi ng. No further changes were made to the edited questionnaire which was then back translated. The back translation was found to be similar to the original PFPS. Conclusion The Filipino version is similar to the original PFPS and can be used in evaluation of TN. A Phase 2 reliability study should be ideally done prior to utilization in clinical setting.
Trigeminal Neuralgia ; Facial Pain ; Pain Measurement

Mucormycosis is an opportunistic fungal infection affecting patients with diabetes or immune-compromised status, caused by species of the Mucoraceae family. Rhinocerebral mucormycosis, the most frequent form of mucormycosis, is characterized by a rapidly progressive and usually fatal course. Common initial symptoms of rhinocerebral mucormycosis include facial pain, facial swelling, headache, fever and blood-tinged rhinorrhea, however, facial palsy is relatively rare. We describe a diabetic female considered rhinocerebral mucormycosis presenting with facial palsy.
Facial Pain ; Facial Paralysis* ; Female ; Fever ; Headache ; Humans ; Mucormycosis*

Inferior meatal antrostomy (IMA) is a widely performed surgical technique to treat postoperative maxillary mucocele. The method is safe and easy to perform, without major complications compared with other approaches. Facial pain after IMA is a rare clinical entity that can be challenging to diagnose and treat. The authors present an unusual case of acute facial neuralgia triggered by cold air that developed after IMA. The antrostomy was located at the anterior-most part of the inferior meatus, and the inlet size was relatively large compared with the size of the remaining sinus. Surgical narrowing of the antrostomy inlet using endoscopy dramatically reduced the symptoms, and symptom relief was maintained for up to one year after surgery.
Bays ; Cartilage ; Endoscopy ; Facial Neuralgia ; Facial Pain ; Methods ; Mucocele ; Transplants

Headache, facial pain and fullness are frequent symptoms noted in patients with acute and chronic sinusitis. However, if patients presenting with a sinus headache were to be classified according to the 2nd Edition of The International Headache Classification by The International Headache Society, most would not be diagnosed as having a headache that is secondary to rhinosinusitis. In this review article, the limitations of the classification system of The International Headache Society and the pathophysiology of a sinus headache are reviewed. The future role of the rhinologist is also suggested.
Facial Pain ; Headache ; Humans ; Paranasal Sinuses ; Sinusitis

We report a case in which traumatic epistaxis with a carotid cavernous fistula was successfully treated by using radiologic intervention. Since the inner facial bone is an anatomically weak structure and has numerous bleeding sites, traumatic epistaxis is profuse and can not be controlled well by using traditional treatments such as gauze, merocel(R), and foley balloon packing. Uncontrolled epistaxis may cause unstable vital signs and threaten the patient. In the case of failure through traditional treatments, angiographic embolization can be used as a treatment of choice because angiographic embolization can be done at a high success rate with few complications. Stroke, facial palsy, visual loss, and facial pain are the most common complications. In our case, we had tried traditional treatments first, but there was no marked improvement. After the angiographic embolization had been conducted, epistaxis was successfully controlled. The patient 's vital signs were stabilized, and he was admitted to the ICU.
Epistaxis* ; Facial Bones ; Facial Pain ; Facial Paralysis ; Fistula ; Hemorrhage ; Humans ; Stroke ; Vital Signs

We present a case of nucleus caudalis DREZ operation for medically refractory facial pain due to invasive sarcoma in skull base. The patient showed excellent pain relief immediately after the operation. Until 5 month later, the pain was less than before surgery. At the point of view of pain characteristics and distribution, it was considered the trigemino-vago-glossopharyngeal neuralgia. It is suggested that the nucleus caudalis DREZ operation is effective in treating medically refractory facial pain due to invasive sarcoma in skull base.
Facial Pain ; Humans ; Neuralgia ; Pain, Intractable* ; Sarcoma* ; Skull Base* ; Skull*

Surgical treatment of 24 patients with chronic intractable pain from head and neck cancer was reviewed in the study. Pain relief is not expected with conventional treatments designed to control the primary disease in advanced head and neck cancer. Effectiveness of neurosurgical procedures such as radiofrequency trigeminal rhizotomy, posterior cervical rhizotomy and medullary tractotomy for relief of intractable cancer pain is emphasized in the paper. Trigeminal radiofrequency rhizotomy is the treatment of choice for relieving the uncontrollable pain in the facial area. Trigeminal rhizotomy and cervical rhizotomy or medullary tractotomy are helpful for facial pain extending into the neck. Glossopharyngeal rhizotomy is seldom used but is useful for pain in the pharynx.
Facial Pain ; Head and Neck Neoplasms ; Head* ; Humans ; Neck Pain* ; Neck* ; Neurosurgical Procedures ; Pain, Intractable ; Pharynx ; Rhizotomy

The clinical appearance of metastatic lesions without an obvious primary source for the tumor is not uncommon event although modern diagnostic technology has improved. Metastatic neoplasms of unknown primary origin account for up to 2.1-11% of metastatic lesions in temporal bones. We recently experienced a case with metastatic adenocarcinoma of unknown primary origin involving the temporal bone. A 66-year-old woman was admitted to our hospital because of facial palsy and facial pain. She was diagnosed with metastatic adenocarcinoma in the temporal bone based on the pathologic findings but the primary origin was not found despite extensive diagnostic work-up for all suspicious sites. So we report this case with a review of related literatures.
Adenocarcinoma ; Aged ; Facial Pain ; Facial Paralysis ; Female ; Humans ; Neoplasm Metastasis ; Neoplasms, Unknown Primary ; Temporal Bone