Oviedo-Montes AF, Ramblas-Ángeles MP, Antonio OA

Language: Spanish
References: 29
Page: 242-246
PDF size: 42.18 Kb.

ABSTRACT

Introduction: Patients suffering from a chronic disease with an unknown cause should be evaluated by an interdisciplinary group of specialists, to ascertain on the diagnosis and therapeutic treatment. Material and method: Three hundred fifty two patients referred by different medical specialists were studied to determine the cause of chronic symptoms; 304 patients (86.36%) suffer craniofacial pain, 36 patients (10.23%) otalgia, 10 patients (2.84%) hypoacusia, and two patients (0.57%), chronic fatigue. No case had a specific injury related to the symptomatology. In 102 (28.9%) cases, the referring physician suspected that the cause of the symptoms was a craniomandibular disorder. Sixty patients (17%) had been unsuccessfully treated with surgery. Results: Through clinical history and physical examination, all patients disclosed multiple symptoms and signs attributable to chronic craniomandibular disease. Myofacial pain (ICD # 729)(*) was the most prevalent diagnosis. Discussion: The results suggest that in every patient presenting with craniofacial pain, otalgia, hypoacusia, and/or chronic fatigue, a routine search should be made for a craniomandibular disorder associated with cervical spine dysfunction, myofacial pain, or an internal derangement of the temporomandibular joint. It may be more convenient to consider fibromyalgia and myofacial pain as a single clinical entity with either local (otomandibular syndrome) or diffuse (chronic fatigue syndrome) expression. Patients with a craniomandibular disorder wait approximately 5 years before this condition is recognized, suffering unnecessary laboratory tests, X-rays, and surgical operations.

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