title: [Importance of diagnosis in facial pain].
abstract: The diagnosis and treatment of facial pain remains a great challenge for oral and maxillofacial surgeons. By taking an exact anamnesis--especially a pain anamnesis--and by starting specific examinations the patient can quickly be recommended to a qualified therapist. The pain syndromes are classified according to the IASP (International Association for the Study of Pain). The pain syndromes the maxillofacial surgeon is most frequently confronted with--idiopathic trigeminal neuralgia, atypical facial pain and the temporomandibular joint--are described. The necessity of a multidisciplinary examination is emphasized and the different diagnostic investigations are illustrated, particularly in the case of myo-arthropathy. Beside the analysis of temporomandibular joint dysfunction, a radiologic examination is performed. In some cases the advise of a neurologist, ophthalmologist or otolaryngologist may be indicated.
authors.affiliation: Dienst Maxillo-Faciale Chirurgie, AZ St-Elisabeth, Zottegem.
authors.forename: T
authors.initials: T
authors.lastname: Claeys
authors.forename: A
authors.initials: A
authors.lastname: Bremerich
authors.forename: L
authors.initials: L
authors.lastname: Cesteleyn
authors.forename: B
authors.initials: B
authors.lastname: Kovacs
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D005156:Facial Neuralgia / Q000175:diagnosis; D005157:Facial Pain / Q000175:diagnosis* / Q000209:etiology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D013706:Temporomandibular Joint Dysfunction Syndrome / Q000175:diagnosis; D014277:Trigeminal Neuralgia / Q000175:diagnosis
vernacular_title: Het belang van de diagnostiek bij facialgieën.