Medial deviation of the pterygoid hamulus as an uncommon cause of persistent oral and facial pain - a rare case report and literature review.

IF 4.6 Q2 MATERIALS SCIENCE, BIOMATERIALS

ACS Applied Bio Materials Pub Date : 2025-03-01 Epub Date: 2022-10-15 DOI:10.1080/08869634.2022.2124613

Raluca Maracineanu, Marilena Motoc, Roxana M Talpos-Niculescu, Roxana Ghircau-Radu, Serban Talpos-Niculescu, Marius O Pricop

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引用次数: 0

Abstract

Background: Pterygoid hamulus syndrome, a painful oral and facial syndrome, has been described in literature to be correlated with morphological changes in the length of the pterygoid hamulus of the sphenoid bone.

Clinical presentation: The current case report describes the treatment for severe, continuous pain in the posterior right palate. Despite numerous conservative treatments given to the patient, no improvement was seen. Cone beam computed tomography (CBCT) measurements revealed an elongation as well as a significant medial deviation of the lower extremity of the medial pterygoid plate. The surgical resection was performed under local anesthesia. The pain subsided two days after the surgery, and there were no relapses in the weeks that followed.

Conclusion: The medial deviation of the hamulus appeared to be important in the etiology of this painful syndrome. Additional research based on CBCT measurements will be required.

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翼颊骨内侧偏斜是导致持续性口腔和面部疼痛的一个不常见原因--罕见病例报告和文献综述。

背景：翼管束综合征是一种口腔和面部疼痛综合征，有文献描述该综合征与蝶骨翼管束长度的形态变化有关：本病例报告描述了对右腭后部持续剧烈疼痛的治疗。尽管患者接受了多种保守治疗，但病情仍不见好转。锥形束计算机断层扫描（CBCT）测量显示，翼骨内侧板的下端有明显的内侧偏移。手术切除是在局部麻醉下进行的。术后两天疼痛缓解，此后数周未再复发：结论：颊车内侧偏斜似乎是这种疼痛综合征的重要病因。还需要根据 CBCT 测量结果进行更多研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

ACS Applied Bio Materials Chemistry-Chemistry (all)

CiteScore

9.40

自引率

2.10%

发文量

464

期刊介绍： ACS Applied Bio Materials is an interdisciplinary journal publishing original research covering all aspects of biomaterials and biointerfaces including and beyond the traditional biosensing, biomedical and therapeutic applications. The journal is devoted to reports of new and original experimental and theoretical research of an applied nature that integrates knowledge in the areas of materials, engineering, physics, bioscience, and chemistry into important bio applications. The journal is specifically interested in work that addresses the relationship between structure and function and assesses the stability and degradation of materials under relevant environmental and biological conditions.