Il Dolore Persistente Idiopatico Facciale (PIFP), già Algia Facciale Atipica - Persistent Idiopathic Facial Pain (PIFP), already known as atypical facial pain

Persistent idiopathic facial pain (PIFP) is the current terminology for “atypical facial pain” (AFP), and is characterized, according to recent Classification, by recurring daily pain for more than two hours per day over more than three months, in the absence of clinical neurological deficit. Pain i...

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Main Author: Carmelo Costa
Format: Article
Language:English
Published: Publiediting 2017-10-01
Series:Pathos
Subjects:
Online Access:https://www.pathos-journal.com/2017_3_180.html
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author Carmelo Costa
author_facet Carmelo Costa
author_sort Carmelo Costa
collection DOAJ
description Persistent idiopathic facial pain (PIFP) is the current terminology for “atypical facial pain” (AFP), and is characterized, according to recent Classification, by recurring daily pain for more than two hours per day over more than three months, in the absence of clinical neurological deficit. Pain is initially confined but may subsequently spread. When present intraorally, PIFP has been termed “atypical odontalgia” (AO). According to the International Classification of Headache Disorders (ICHD-3), AO is included as a subtype of PIFP and most researchers have concluded that it is a painful traumatic trigeminal neuropathy. The pathophysiology of PIFP is still mysterious, however neuropathic mechanisms may be relevant. PIFP is often a difficult but important differential diagnosis among chronic facial pain syndromes. They include facial myofascial pain, atypical trigeminal neuralgia, painful traumatic trigeminal neuropathy and orofacial migraines. For this reason and to rule out psychiatric comorbidities interdisciplinary collaboration is essential. Due to enigmatic pathophysiology the PIFP’s treatment is unclear. Probably the best outcomes are obtained with a combination of pharmacologic and no pharmacologic treatments, reserve interventional treatment for selected cases.
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spelling doaj.art-b9a403855fd743e6b6e2d0eb64560bcc2022-12-21T21:42:51ZengPublieditingPathos1593-23542385-07442017-10-0124381410.30458/PA2017-180Il Dolore Persistente Idiopatico Facciale (PIFP), già Algia Facciale Atipica - Persistent Idiopathic Facial Pain (PIFP), already known as atypical facial painCarmelo Costa0Responsabile Unità di Terapia del Dolore Humanitas Centro Catanese di Oncologia, CataniaPersistent idiopathic facial pain (PIFP) is the current terminology for “atypical facial pain” (AFP), and is characterized, according to recent Classification, by recurring daily pain for more than two hours per day over more than three months, in the absence of clinical neurological deficit. Pain is initially confined but may subsequently spread. When present intraorally, PIFP has been termed “atypical odontalgia” (AO). According to the International Classification of Headache Disorders (ICHD-3), AO is included as a subtype of PIFP and most researchers have concluded that it is a painful traumatic trigeminal neuropathy. The pathophysiology of PIFP is still mysterious, however neuropathic mechanisms may be relevant. PIFP is often a difficult but important differential diagnosis among chronic facial pain syndromes. They include facial myofascial pain, atypical trigeminal neuralgia, painful traumatic trigeminal neuropathy and orofacial migraines. For this reason and to rule out psychiatric comorbidities interdisciplinary collaboration is essential. Due to enigmatic pathophysiology the PIFP’s treatment is unclear. Probably the best outcomes are obtained with a combination of pharmacologic and no pharmacologic treatments, reserve interventional treatment for selected cases.https://www.pathos-journal.com/2017_3_180.htmlPersistent Idiopathic Facial Painatypical facial painchronic facial painatypical odontalgiadolore persistente idiopatico faccialealgia facciale atipicadolore facciale cronicoodontalgia atipica.
spellingShingle Carmelo Costa
Il Dolore Persistente Idiopatico Facciale (PIFP), già Algia Facciale Atipica - Persistent Idiopathic Facial Pain (PIFP), already known as atypical facial pain
Pathos
Persistent Idiopathic Facial Pain
atypical facial pain
chronic facial pain
atypical odontalgia
dolore persistente idiopatico facciale
algia facciale atipica
dolore facciale cronico
odontalgia atipica.
title Il Dolore Persistente Idiopatico Facciale (PIFP), già Algia Facciale Atipica - Persistent Idiopathic Facial Pain (PIFP), already known as atypical facial pain
title_full Il Dolore Persistente Idiopatico Facciale (PIFP), già Algia Facciale Atipica - Persistent Idiopathic Facial Pain (PIFP), already known as atypical facial pain
title_fullStr Il Dolore Persistente Idiopatico Facciale (PIFP), già Algia Facciale Atipica - Persistent Idiopathic Facial Pain (PIFP), already known as atypical facial pain
title_full_unstemmed Il Dolore Persistente Idiopatico Facciale (PIFP), già Algia Facciale Atipica - Persistent Idiopathic Facial Pain (PIFP), already known as atypical facial pain
title_short Il Dolore Persistente Idiopatico Facciale (PIFP), già Algia Facciale Atipica - Persistent Idiopathic Facial Pain (PIFP), already known as atypical facial pain
title_sort il dolore persistente idiopatico facciale pifp gia algia facciale atipica persistent idiopathic facial pain pifp already known as atypical facial pain
topic Persistent Idiopathic Facial Pain
atypical facial pain
chronic facial pain
atypical odontalgia
dolore persistente idiopatico facciale
algia facciale atipica
dolore facciale cronico
odontalgia atipica.
url https://www.pathos-journal.com/2017_3_180.html
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