Refractory Orofacial Pain: Is It the Patient or the Pain?

IF 1.9 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Oral & Facial Pain and Headache Pub Date : 2021-11-01 DOI:10.11607/ofph.3009

Tara Renton

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引用次数: 1

Abstract

Aims: To highlight and discuss the term "refractory" when used to describe pain conditions and its application to orofacial pain, as well as to highlight the factors that must be considered in a refractory patient.

Methods: A scoping review of recent publications (2010 to 2021) applying the term "refractory" to orofacial pain was conducted, and this paper presents their limitations and definitions.

Results: The term "refractory" is often used to describe pain instead of "persistent" or "nonresponsive." There are clear definitions in the use of refractory for migraine, cluster headaches, and other nonheadache disorders. Currently, the term is applied to pain conditions in order to alter the patient pathway of treatment, sometimes to escalate a patient from one care sector to another and sometimes to escalate treatment to more costly surgical interventional techniques.

Conclusion: There is a need for a clear definition for use of the term "refractory" in orofacial pain conditions, excluding migraine and cluster headaches. In addition, there is a requirement for a consensus on the implications of the use of refractory when assessing and managing patients.

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难治性口面部疼痛:是患者还是疼痛?

目的:强调和讨论“难治性”一词用于描述疼痛状况及其在口面部疼痛中的应用，并强调难治性患者必须考虑的因素。方法:对近期发表的(2010年至2021年)将“难治性”一词应用于口腔面部疼痛的文献进行范围综述，并介绍其局限性和定义。结果:“难治性”一词常被用来描述疼痛，而不是“持续性”或“无反应性”。对于偏头痛、丛集性头痛和其他非头痛性疾病的难治性治疗有明确的定义。目前，该术语用于疼痛状况，以改变患者的治疗途径，有时将患者从一个护理部门升级到另一个护理部门，有时将治疗升级到更昂贵的手术介入技术。结论:在排除偏头痛和丛集性头痛的口腔面部疼痛条件下，有必要明确定义“难治性”一词的使用。此外，在评估和管理患者时，需要就使用难治性药物的影响达成共识。

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

Journal of Oral & Facial Pain and Headache DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

5.10

自引率

4.00%

发文量

期刊介绍： Founded upon sound scientific principles, this journal continues to make important contributions that strongly influence the work of dental and medical professionals involved in treating oral and facial pain, including temporomandibular disorders, and headache. In addition to providing timely scientific research and clinical articles, the journal presents diagnostic techniques and treatment therapies for oral and facial pain, headache, mandibular dysfunction, and occlusion and covers pharmacology, physical therapy, surgery, and other pain-management methods.