Medial deviation of the pterygoid hamulus as an uncommon cause of persistent oral and facial pain - a rare case report and literature review

Pterygoid hamulus syndrome, a painful oral and facial syndrome, has been described in literature to be correlated with morphological changes in the length of the pterygoid hamulus of the sphenoid bone. The current case report describes the treatment for severe, continuous pain in the posterior right...

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Bibliographic Details
Published in:Cranio 2022-10, Vol.ahead-of-print (ahead-of-print), p.1-5
Main Authors: Maracineanu, Raluca, Motoc, Marilena, Talpos-Niculescu, Roxana M., Ghircau-Radu, Roxana, Talpos-Niculescu, Serban, Pricop, Marius O.
Format: Article
Language:English
Subjects:
CBCT
deviation angle
hamulus elongation
pterygoid hamulus syndrome
rare case
Severe pain
surgical treatment
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Summary:Pterygoid hamulus syndrome, a painful oral and facial syndrome, has been described in literature to be correlated with morphological changes in the length of the pterygoid hamulus of the sphenoid bone. The current case report describes the treatment for severe, continuous pain in the posterior right palate. Despite numerous conservative treatments given to the patient, no improvement was seen. Cone beam computed tomography (CBCT) measurements revealed an elongation as well as a significant medial deviation of the lower extremity of the medial pterygoid plate. The surgical resection was performed under local anesthesia. The pain subsided two days after the surgery, and there were no relapses in the weeks that followed. The medial deviation of the hamulus appeared to be important in the etiology of this painful syndrome. Additional research based on CBCT measurements will be required.
ISSN:0886-9634
2151-0903
DOI:10.1080/08869634.2022.2124613