Orofacial pain may have a variety of causes and offers a significant clinical challenge for its diagnosis and management.ObjectiveTo assess the headache disorders presenting in a tertiary multidisciplinary orofacial pain clinic, after dental causes have been excluded.MethodsClinic letters from the initial consultation and subsequent follow up reviews of the 142 patients, who were seen in the tertiary Multidisciplinary Orofacial Pain clinic between January 2015 until January 2018 were reviewed as a clinical audit.ResultsThe most common diagnoses were possible trigeminal autonomic cephalalgia (n = 62, 44%), migraine (n = 38, 27%) and painful post-traumatic trigeminal neuropathy (n = 17, 12%). The most common trigeminal autonomic cephalalgia diagnosis was hemicrania continua (n = 13, 9%), which is higher than the reported prevalence in neurology and headache clinics.ConclusionThis study demonstrates the importance of a multidisciplinary approach to diagnosing complex orofacial pain patients and the importance of awareness of primary headache disorders, in particular trigeminal autonomic cephalalgias, thereby reducing unnecessary diagnostic delays or procedures.

中文翻译：

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多学科三级口面部疼痛诊所出现的三叉自主神经性头痛

口腔面部疼痛可能有多种原因，并为其诊断和管理提供了重大的临床挑战。目的评估在排除牙科原因后，在三级多学科口腔面部疼痛诊所中出现的头痛疾病。方法来自初始咨询和后续随访的临床信函对 2015 年 1 月至 2018 年 1 月期间在三级多学科口面部疼痛诊所就诊的 142 名患者进行了审查作为临床审核。结果最常见的诊断是可能的三叉神经自主神经性头痛（n = 62，44%）、偏头痛（ n = 38, 27%) 和疼痛的创伤后三叉神经病变 (n = 17, 12%)。最常见的三叉神经自主神经性头痛诊断是连续偏头痛（n = 13, 9%），