Comorbidity of Pterygoid Hamular Area Pain and TMD

Abstract

Often craniofacial pain subjects report a number of conflicting and overlapping symptoms that can present a confusing clinical picture. Reaching a diagnosis on these individuals can prove to be a frustrating and difficult event for both the examiner and the patient. Thus, it is incumbent on clinicians treating patients with pain in the head, face and neck areas to be familiar with the less common pain disorders to assist in the differential review. This retrospective study examines the comorbidity of pterygoid hamulus pain with temporomandibular disorders (TMD). To acquire this information, the charts of 464 subjects with TMD in a private setting were examined to determine if pterygoid hamular pain was found at the evaluation. Ninety-two patients (N=92) had positive findings. Areas of referred pain that were elicited during the examination were charted. The pterygoid hamular area should be evaluated in individuals with TMD and especially those presenting with posterior palate and throat pain.

Additional information

Notes on contributors

John S. DuPont

Dr. John S. DuPont, Jr. has authored a number of published articles and manuals on the diagnosis and treatment of temporomandibular joint disease. He has diplomate status in the American Board of Forensic Dentistry (ABFD) and the American Academy of Pain Management (AAPM) and holds fellowships in the International College of Cranio- Mandibular Orthopedics (ICCMO) and the Academy of General Dentistry (AGD).

Christopher E. Brown

Dr. Christopher E. Brown practices in New Orleans, Louisana. He is a fellow-eligible member of the American Academy of Craniofacial Pain (AACP) and a diplomate of the American Academy of Pain Management (AAPM). He also serves as an adjunct clinical professor to the senior class patient clinic at the Louisana State University School of Dentistry.