A 2004 update of the International Headache Society classification refined the diagnostic criteria for headaches, the most frequent of which remain tension headaches and migraines. Diagnosis remains essentially clinical, while complementary neuroimaging tests are done on an on-request basis for newly appearing headaches or for changes in migraine e...
Pain is very frequent in otolaryngology disease: headaches, facial pain, earaches, and neck pain. The search for nasal pathology with maxillary sinus, sphenoidal, or ethmoidal involvement is part of the workup for headache. Facial pain should first suggest symptomatic neuralgia through involvement of the cranial nerves - trigeminal, glossopharyngea...
This short review focuses on the main properties of the nervous system responsible for pain originating from oral, nasal and pharyngeal cavities. First, the major roles of the somatic sensations coming from the orofacial and pharyngeal areas are emphasized. Then, the description of the respective peripheral fields of the different cranial nerves in...
Ophthalmological and cervical involvement of herpes zoster virus ranks second and third, respectively, in terms of localization frequency. Involvement of the cranial nerves is a particular sign of complications, notably ocular complications, possibly compromising the visual or facial prognosis through involvement of the VIIth nerve, which is respon...
Evaluation of pain in otolaryngology diseases is indispensable in treating patients. Parallel to the etiological diagnosis of otolaryngology disease, a clinical diagnosis of the pain must be made to determine the weighting of the three causes of pain involved in any acute or chronic condition: the component of nociceptive, neurogenic, and psychofun...
Pain after otolaryngological and cervicofacial surgery varies greatly because of the wide variety of procedures. Preventing this pain stems from the administration of paracetamol, nonsteroid anti-inflammatory drugs, nefopam, and systematic recourse to morphine when remifentanil is used. Postoperatively, the most painful surgical procedures are an i...
The standards of pharyngolaryngeal tumor treatment have changed over the years in an attempt to prevent laryngeal mutilation (partial surgery, endoscopic surgery, sequential radiotherapy, and chemotherapy). Pain induced by these treatments is frequent and varies from one treatment to another. Chemoradiotherapy induces less pain but often more sever...
Head and neck cancers can be revealed by pain symptoms caused by an excess of nociception. Other pain sometimes occurs during the cancer's progression such as neuropathic or mixed pain. These should incite the clinician to be watchful so as not to miss recurrence of the cancer. Treatment is complex, requiring management by a multidisciplinary team....
There are many types of pain induced in otolaryngology, stemming from medical acts, sinus drainage, packing of the nasal fossae, or complex bandaging after cancer surgery. In patients with impaired communication abilities resulting from impaired speech, greater attention must be paid to induced pain, sometimes requiring the use of behavioral evalua...
