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Pterygoid hamulus bursitis as a cause of craniofacial pain: a case report

Identifieur interne : 001E56 ( Pmc/Curation ); précédent : 001E55; suivant : 001E57

Pterygoid hamulus bursitis as a cause of craniofacial pain: a case report

Auteurs : Jin-Yong Cho [Corée du Sud] ; Kang-Yong Cheon [Corée du Sud] ; Dong-Whan Shin [Corée du Sud] ; Won-Bae Chun [Corée du Sud] ; Ho Lee [Corée du Sud]

Source :

RBID : PMC:3858168

Abstract

Pain on the soft palate and pharynx can originate in several associated structures. Therefore, diagnosis of patients who complain of discomfort in these areas may be difficult and complicated. Pterygoid hamulus bursitis is a rare disease showing various symptoms in the palatal and pharyngeal regions. As such, it can be one of the reported causes of pain in these areas. Treatment of hamular bursitis is either conservative or surgical. If the etiologic factor of bursitis is osteophytic formation on the hamulus or hypertrophy of the bursa, resection of the hamulus is usually the preferred surgical treatment. We report on a case of bursitis that was managed successfully by surgical treatment and a review of the literature.


Url:
DOI: 10.5125/jkaoms.2013.39.3.134
PubMed: 24471031
PubMed Central: 3858168

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PMC:3858168

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<name>
<surname>Cho</surname>
<given-names>Jin-Yong</given-names>
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<surname>Cheon</surname>
<given-names>Kang-Yong</given-names>
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<name>
<surname>Shin</surname>
<given-names>Dong-Whan</given-names>
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<name>
<surname>Chun</surname>
<given-names>Won-Bae</given-names>
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<name>
<surname>Lee</surname>
<given-names>Ho</given-names>
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<aff id="A1">
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Department of Oral and Maxillofacial Surgery, Section of Dentistry, SMG-SNU Boramae Medical Center, Seoul, Korea.</aff>
<aff id="A2">
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Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonnam National University, Gwangju, Korea.</aff>
<aff id="A3">
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Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University, Seoul, Korea.</aff>
<author-notes>
<corresp>Corresponding author: Ho Lee. Department of Oral and Maxillofacial Surgery, Section of Dentistry, SMG-SNU Boramae Medical Center, 20 Boramae-ro 5-gil, Dongjak-gu, Seoul 156-849, Korea. TEL: +82-2-870-2496, FAX: +82-2-831-0714,
<email>neo0224@gmail.com</email>
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<month>6</month>
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<volume>39</volume>
<issue>3</issue>
<fpage>134</fpage>
<lpage>138</lpage>
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<date date-type="received">
<day>14</day>
<month>3</month>
<year>2013</year>
</date>
<date date-type="rev-recd">
<day>02</day>
<month>5</month>
<year>2013</year>
</date>
<date date-type="accepted">
<day>07</day>
<month>5</month>
<year>2013</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright © 2013 The Korean Association of Oral and Maxillofacial Surgeons. All rights reserved.</copyright-statement>
<copyright-year>2013</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">
<license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (
<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">http://creativecommons.org/licenses/by-nc/3.0/</ext-link>
) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract>
<p>Pain on the soft palate and pharynx can originate in several associated structures. Therefore, diagnosis of patients who complain of discomfort in these areas may be difficult and complicated. Pterygoid hamulus bursitis is a rare disease showing various symptoms in the palatal and pharyngeal regions. As such, it can be one of the reported causes of pain in these areas. Treatment of hamular bursitis is either conservative or surgical. If the etiologic factor of bursitis is osteophytic formation on the hamulus or hypertrophy of the bursa, resection of the hamulus is usually the preferred surgical treatment. We report on a case of bursitis that was managed successfully by surgical treatment and a review of the literature.</p>
</abstract>
<kwd-group>
<kwd>Bursitis</kwd>
<kwd>Facial pain</kwd>
<kwd>Palatal muscles</kwd>
<kwd>Palate</kwd>
<kwd>Pharynx</kwd>
</kwd-group>
</article-meta>
</front>
<floats-group>
<fig id="F1" orientation="portrait" position="float">
<label>Fig. 1</label>
<caption>
<p>Preoperative intraoral photograph. Arrow indicates area of tenderness on palpation.</p>
</caption>
<graphic xlink:href="jkaoms-39-134-g001"></graphic>
</fig>
<fig id="F2" orientation="portrait" position="float">
<label>Fig. 2</label>
<caption>
<p>Preoperative panoramic radiograph.</p>
</caption>
<graphic xlink:href="jkaoms-39-134-g002"></graphic>
</fig>
<fig id="F3" orientation="portrait" position="float">
<label>Fig. 3</label>
<caption>
<p>Computed tomography scans showing medially protruded pterygoid hamulus (arrow). A. Axial view. B. Coronal view.</p>
</caption>
<graphic xlink:href="jkaoms-39-134-g003"></graphic>
</fig>
<fig id="F4" orientation="portrait" position="float">
<label>Fig. 4</label>
<caption>
<p>A. Intraoperative photograph showing the pterygoid hamulus. B. Intraoperative photograph showing the tendon of levator veli palaini muscle after hamulotomy.</p>
</caption>
<graphic xlink:href="jkaoms-39-134-g004"></graphic>
</fig>
<fig id="F5" orientation="portrait" position="float">
<label>Fig. 5</label>
<caption>
<p>The resected pterygoid hamulus measured 7 mm in length and was sickle shape.</p>
</caption>
<graphic xlink:href="jkaoms-39-134-g005"></graphic>
</fig>
<fig id="F6" orientation="portrait" position="float">
<label>Fig. 6</label>
<caption>
<p>Postoperative computed tomography scans showing removed left petrygoid hamulus (arrow). A. Axial view. B. Coronal view.</p>
</caption>
<graphic xlink:href="jkaoms-39-134-g006"></graphic>
</fig>
</floats-group>
</pmc>
</record>

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