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Myofascial Orofacial Pain Exacerbated after Masseteric Nerve Neurectomy

Journal of Oral Medicine and Pain 2020³â 45±Ç 4È£ p.110 ~ 114
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³²Çö ( Nam Hyun ) - Wonkwang University Daejeon Dental Hospital Department of Orofacial Pain and Oral Medicine
°í´ÙÀº ( Ko Da-Eun ) - Wonkwang University Daejeon Dental Hospital Department of Orofacial Pain and Oral Medicine
°­Áø±Ô ( Kang Jin-Kyu ) - Wonkwang University Daejeon Dental Hospital Department of Orofacial Pain and Oral Medicine
½É¿µÁÖ ( Shim Young-Joo ) - Wonkwang University Daejeon Dental Hospital Department of Orofacial Pain and Oral Medicine

Abstract


Myofascial pain (MFP) is one of the most common causes of persistent orofacial pain. Patients with chronic myofascial orofacial pain may present with diffuse heterotopic pain, complicating the correct diagnosis. Treatment of chronic MFP should focus on the elimination of aetiologic factors. This article describes two cases of chronic MFP of the masticatory muscles, whose symptoms were exacerbated after masseteric nerve neurectomy. The patients had suffered from irrelevant treatment which did not resolve the symptom. Their symptom was managed by conventional treatment protocol. These cases emphasize the importance of correct diagnosis and evidence-based approach.

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Denervation; Masseter muscle; Myofascial pain syndrome

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