Modern Approaches to the Treatment of Acute Facial Pain.

IF 3.2 2区 医学 Q2 CLINICAL NEUROLOGY
Current Pain and Headache Reports Pub Date : 2024-08-01 Epub Date: 2024-05-07 DOI:10.1007/s11916-024-01260-4
Auste Asadauskas, Markus M Luedi, Richard D Urman, Lukas Andereggen
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Abstract

Purpose of review: Acute facial pain presents a complex challenge in medical practice, requiring a comprehensive and interdisciplinary approach to its management. This narrative review explores the contemporary landscape of treating acute facial pain, delving into pharmacological, non-pharmacological, and advanced interventions. The significance of tailored treatment strategies, rooted in the diverse etiologies of facial pain, such as dental infections, trigeminal neuralgia, temporomandibular joint disorders, sinusitis, or neurological conditions like migraines or cluster headaches, is underscored. We particularly emphasize recent advances in treating trigeminal neuralgia, elucidating current treatment concepts in managing this particular acute facial pain.

Recent findings: Recent research sheds light on various treatment modalities for acute facial pain. Pharmacotherapy ranges from traditional NSAIDs and analgesics to anticonvulsants and antidepressants. Non-pharmacological interventions, including physical therapy and psychological approaches, play pivotal roles. Advanced interventions, such as nerve blocks and surgical procedures, are considered in cases of treatment resistance. Moreover, we explore innovative technologies like neuromodulation techniques and personalized medicine, offering promising avenues for optimizing treatment outcomes in acute facial pain management. Modern management of acute facial pain requires a nuanced and patient-centric approach. Tailoring treatment strategies to the individual's underlying condition is paramount. While pharmacotherapy remains a cornerstone, the integration of non-pharmacological interventions is essential for comprehensive care. Advanced interventions should be reserved for cases where conservative measures prove inadequate. Furthermore, leveraging innovative technologies and personalized medicine holds promise for enhancing treatment efficacy. Ultimately, a holistic approach that considers the diverse needs of patients is crucial for effectively addressing acute facial pain.

Abstract Image

治疗急性面部疼痛的现代方法。
回顾的目的:急性面部疼痛是医疗实践中的一项复杂挑战,需要采用跨学科的综合方法进行治疗。这篇叙述性综述探讨了当代治疗急性面部疼痛的方法,深入研究了药物、非药物和先进的干预措施。我们强调了根据面部疼痛的不同病因(如牙科感染、三叉神经痛、颞下颌关节紊乱、鼻窦炎或偏头痛或丛集性头痛等神经系统疾病)制定针对性治疗策略的重要性。我们特别强调了治疗三叉神经痛的最新进展,阐明了治疗这种特殊急性面部疼痛的当前治疗理念:最近的研究揭示了治疗急性面部疼痛的各种方法。药物疗法包括传统的非甾体抗炎药和镇痛药,以及抗惊厥药和抗抑郁药。非药物干预,包括物理治疗和心理治疗,也发挥着关键作用。在出现治疗抵抗的情况下,我们会考虑采用神经阻滞和外科手术等先进的干预措施。此外,我们还探索了神经调控技术和个性化医疗等创新技术,为优化急性面部疼痛的治疗效果提供了前景广阔的途径。急性面部疼痛的现代治疗需要一种细致入微、以患者为中心的方法。根据个人的基本情况定制治疗策略至关重要。虽然药物治疗仍是基石,但非药物干预措施的整合对于综合治疗至关重要。先进的干预措施应保留给保守措施被证明不足的病例。此外,利用创新技术和个性化医疗有望提高治疗效果。归根结底,考虑患者不同需求的综合方法对于有效解决急性面部疼痛问题至关重要。
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来源期刊
Current Pain and Headache Reports
Current Pain and Headache Reports CLINICAL NEUROLOGY-
CiteScore
6.10
自引率
2.70%
发文量
91
审稿时长
6-12 weeks
期刊介绍: This journal aims to review the most important, recently published clinical findings regarding the diagnosis, treatment, and management of pain and headache. By providing clear, insightful, balanced contributions by international experts, the journal intends to serve all those involved in the care and prevention of pain and headache. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as anesthetic techniques in pain management, cluster headache, neuropathic pain, and migraine. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.
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