Maxillary Sinusitis Resembling Trigeminal Neuralgia
안형준, 홍유리, 김소라, 김복음, 박연정, 권정승, 김성택, 최종훈,
소속 상세정보
안형준 ( Ahn Hyung-Joon ) - Yonsei University College of Dentistry Dental Hospital Department of Orofacial Pain and Oral Medicine
홍유리 ( Hong Yoo-Ree ) - Yonsei University College of Dentistry Dental Hospital Department of Orofacial Pain and Oral Medicine
김소라 ( Kim So-Ra ) - Yonsei University College of Dentistry Dental Hospital Department of Orofacial Pain and Oral Medicine
김복음 ( Kim Bok-Eum ) - Yonsei University College of Dentistry Dental Hospital Department of Orofacial Pain and Oral Medicine
박연정 ( Park Youn-Jung ) - Yonsei University College of Dentistry Dental Hospital Department of Orofacial Pain and Oral Medicine
권정승 ( Kwon Jeong-Seung ) - Yonsei University College of Dentistry Yonsei Dental Hospital Department of Orofacial Pain and Oral Medicine
김성택 ( Kim Seong-Taek ) - Yonsei University College of Dentistry Dental Hospital Department of Orofacial Pain and Oral Medicine
최종훈 ( Choi Jong-Hoon ) - Yonsei University College of Dentistry Dental Hospital Department of Orofacial Pain and Oral Medicine
Abstract
Chronic maxillary sinusitis is a common disease, with symptoms of dull, aching pain or pressure below the eyes and signs such as tenderness over the involved sinus, whereas trigeminal neuralgia is described as severe, paroxysmal, and lancinating brief pain limited in distributions of one or more divisions of trigeminal nerve. In cases where these two non-odontogenic toothache symptoms overlaps, the diagnostic process can be confusing.
Here, we report a case of a 54-year-old male patient with chief complaints of intermittent, severe, and electric-like pain in the upper left premolar and first molar area, initially diagnosed with trigeminal neuralgia but finally with maxillary sinusitis after pain recurrence 2 years after that. Therefore, thorough history taking and precise imaging interpretation should be considered to make correct diagnose especially in case of a patient with newly developed or altered or atypical symptoms.
키워드
Facial pain; Maxillary sinusitis; Toothache; Trigeminal neuralgia
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