Purpose of Review

Diverse musculoskeletal disorders and neuropathic symptoms of the face pose significant diagnostic challenges. In particular, temporal tendinosis is generally overlooked in the medical and dental literature and is therefore a poorly understood topic and often problematic cause of chronic orofacial pain. In this article, we explore temporal tendinosis as a cause of unresolved orofacial pain by reviewing the complex anatomy of the temporalis muscle, common presentations of temporal tendinosis, possible etiologies for injury and place a strong emphasis on required diagnostic evaluation and clinical management.

Recent Findings

Temporal tendinosis remains under diagnosed due to a combination of anatomical complexity and incomplete description in the majority of general anatomy medical textbooks. The two main presentations are unilateral facial pain with or without temporal headache and pain radiating from the distal temporalis tendon to the temporalis muscle. Diagnosis should be made with a combination of focused history, physical examination and specialised imaging, preferably with ultrasound but with MRI an alternate option. While many management options are available, optimal treatment remains unclear.

Summary

Temporal tendinosis is an under-recognised and under-treated condition. Despite the fact that orofacial pain is one of the single most common complaints of patients presenting to physicians or dentists, it is widely acknowledged that training for diagnosis and manage of temporal tendinopathy among primary care physicians in both medical and dental professions is inadequate. This may result in extensive workups, leading to suboptimal management and chronic pain syndromes.

中文翻译：

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颞肌腱炎：慢性口面部疼痛的原因。

审查目的

面部的各种肌肉骨骼疾病和神经病性症状对诊断提出了重大挑战。尤其是，颞肌腱病在医学和牙科文献中通常被忽略，因此是一个鲜为人知的话题，并且经常是导致慢​​性口面部疼痛的成问题原因。在本文中，我们通过回顾颞肌的复杂解剖结构，颞肌腱炎的常见表现，可能的损伤病因，探讨颞肌腱炎是未解决的口面疼痛的原因，并着重强调所需的诊断评估和临床管理。

最近的发现

在大多数普通解剖医学教科书中，由于解剖结构复杂和描述不完整，使得颞肌腱炎仍未得到诊断。两种主要表现是有或没有颞部头痛的单侧面部疼痛以及从颞颞肌腱到颞肌的放射痛。诊断应结合病史，体格检查和专门的影像学进行，最好是超声检查，但MRI是另一种选择。尽管有许多管理选项可用，但最佳治疗方案仍不清楚。

概要

颞肌腱病是一种未被充分认识和治疗不足的疾病。尽管口面疼痛是患者向医师或牙医提出的最常见的主诉之一，但众所周知，在医学和牙科专业的初级保健医师中，对于诊断和处理颞肌腱病的培训不足。这可能会导致大量的检查，导致管理欠佳和慢性疼痛综合症。