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Facial pain differential diagnosis

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The patient presenting with facial pain can be a heartsink. Fear not — Bhaskar Ram and Sangeeta Maini are here with a succinct overview of the common non-sinogenic causes of facial pain and headache , and how to manage them. Facial pain is a common complaint in the ENT outpatient setting. Facial pain can be the presenting, and sometimes the only, complaint of many disorders that originate from head and neck structures. Identification of the underlying cause occasionally represents a challenge, even for an experienced clinician. Of course the complex and rare forms of primary headache would need referral to a neurologist.

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Facial Pain

Facial pain: the differential diagnosis in an ENT clinic | ENT & Audiology News

The diagnosis and management of facial pain below the eye can be very different dependant on whether the patient visits a dentist or medical practitioner. A structure for accurate diagnosis is proposed beginning with a very careful history. The commonest acute causes of pain are dental and these are well managed by dentists. Chronic facial pain can be unilateral or bilateral and continuous or episodic.

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Facial pain – A diagnostic challenge

Professional Reference articles are designed for health professionals to use. You may find the Trigeminal Neuralgia article more useful, or one of our other health articles. NICE has issued rapid update guidelines in relation to many of these. This guidance is changing frequently.

Articles in the December issue discuss various health issues affecting school-aged children, including acne, eczema and growth disorders. Volume 44, No. Facial pain is one of the most common neurological complaints together with headache, and back and abdominal pain. In most cases, the aetiology can be ascertained from a detailed history and examination.