BACKGROUND: Eagle syndrome (ES) is a rare disorder that can be responsible for orofacial pain. OBJECTIVE: To describe the treatment of an elderly patient affected by ES and temporomandibular disorders (TMD). MATERIALS AND METHODS: A patient complained of constant pain of the right temporomandibular joint (TMJ) and of the sensation of having a foreign body in the throat. Based on the patient's medical history and symptoms, a TMJs internal derangement and concomitant ES were suspected. A magnetic resonance and a computerised tomography confirmed the clinical diagnosis. A conservative treatment was initially performed to re-establish a functional occlusion. RESULTS: The rehabilitative treatment alleviated the pain almost totally. A slight residual uncomfortable sensation of the presence of a foreign body in the throat persisted after the oral rehabilitation but without any influence on the quality of life. CONCLUSION: In elderly patients complaining a chronic orofacial pain, the possibility of a concomitant TMD and ES has to be considered to correctly identify the source of pain. A conservative approach to identify weather TMD is the main source of pain is preferable, avoiding unnecessary invasive treatments.

Orofacial pain induced by Eagle syndrome in an elderly patient with temporomandibular disorders – a case report

COSTANTINIDES, FULVIA;VIDONI, GABRIELE;DI LENARDA, Roberto
2016

Abstract

BACKGROUND: Eagle syndrome (ES) is a rare disorder that can be responsible for orofacial pain. OBJECTIVE: To describe the treatment of an elderly patient affected by ES and temporomandibular disorders (TMD). MATERIALS AND METHODS: A patient complained of constant pain of the right temporomandibular joint (TMJ) and of the sensation of having a foreign body in the throat. Based on the patient's medical history and symptoms, a TMJs internal derangement and concomitant ES were suspected. A magnetic resonance and a computerised tomography confirmed the clinical diagnosis. A conservative treatment was initially performed to re-establish a functional occlusion. RESULTS: The rehabilitative treatment alleviated the pain almost totally. A slight residual uncomfortable sensation of the presence of a foreign body in the throat persisted after the oral rehabilitation but without any influence on the quality of life. CONCLUSION: In elderly patients complaining a chronic orofacial pain, the possibility of a concomitant TMD and ES has to be considered to correctly identify the source of pain. A conservative approach to identify weather TMD is the main source of pain is preferable, avoiding unnecessary invasive treatments.
http://onlinelibrary.wiley.com/doi/10.1111/ger.12160/abstract
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/11368/2882992
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