Orofacial pain

Question 1

What are some causes of orofacial pain?

Answer 1

• TMJ dysfunction
• Tension headache
• Migraine
• Midfacial segment pain
• Cluster headache
• Chronic rhinosinusitis

Question 2

Patient:
Orofacial pain
Nasal blockage
Skin or soft tissue swelling and tenderness
Severe, unilateral pain in short-lived bouts
Cause?

Answer 2

Cluster headache - Pain is short-lived, lasting about an hour and can occur in clusters up to 6 times a day for weeks

Question 3

Patient:
Orofacial pain
Nasal blockage
Skin or soft tissue swelling and tenderness
Constant, bilateral pain
Cause?

Answer 3

Midfacial segment pain - Similar characteristics to tension headache, but with unknown aetiology

Question 4

Patient:
Orofacial pain
Nasal blockage
No skin or soft tissue swelling and tenderness
Purulent nasal discharge
Cause?

Answer 4

Rhinosinusitis

Question 5

Patient:
Orofacial pain
Nasal blockage
Skin or soft tissue swelling and tenderness
Nausea, photophobia and photophobia

Answer 5

Migraines - Commonly report pain in one half of the head

Question 6

Patient:
Orofacial pain
No nasal blockage
No nausea or vomiting
Cause?

Answer 6

Tension-type headache - A diffuse headache described as being around the head; usually featureless

Question 7

Patient:
Orofacial pain
No nasal blockage
Clicky jaw, jaw locking
Cause?

Answer 7

TMJ disorder - Affects TMJ and masticatory muscles, causing joint laxity