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dc.contributor.advisor Rustemeyer, Jan Prof. Dr. Dr.
dc.contributor.author Schöne, Patrick
dc.date.accessioned 2016-06-13T07:55:40Z
dc.date.available 2016-07-13T22:50:08Z
dc.date.issued 2016-06-13
dc.identifier.uri http://hdl.handle.net/11858/00-1735-0000-0028-877A-2
dc.language.iso deu de
dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subject.ddc 610 de
dc.title Wirksamkeit medikamentöser und myofunktioneller Therapiekonzepte beim chronischen Gesichtsschmerz de
dc.type doctoralThesis de
dc.title.translated Efficacy of drug and myofunctional therapy concepts in chronic facial pain de
dc.contributor.referee Rustemeyer, Jan Prof. Dr. Dr.
dc.date.examination 2016-07-06
dc.description.abstracteng The aim oft the present study was to evaluate the epidemiology, clinical diagnosis, treatment and its success of the four most frequently occuring forms of facial pain (myoarthropathy, trigeminal neuralgia, trigeminal neuropathy and persistent idiopathic facial pain) to draw action-oriented conclusions. 226 patients were analysed, that were treated conservative between 2002 and 2011. Myoarthropathic patients were preponderantly female (95%) with a median discomfort duration of 6.5 month. Most common anamnestic risk facor were psychiatric disorders (31,67%). With our conservative therapy 76,66% of the patients were successfully treated.  Patients with trigeminal neuralgia were also mainly female (65,52%) with a median discomfort duration of 24 month. There was a higher frequence of the right side of the face (62,07%) and in the area of V3 (36,21% and V2 and V3 in combination (29,31%). Common risk factors were previous operations (22,41%) and psychiatric disorders (13,79%). The conservative treatment was successfull in 91,37%. Patients with trigeminal neuropathy were also dominantly female (75%). While the median discomfort duration in this subgroup was 17 month, patients with a shorter duration of disorders had a significantly better outcome (p=0,049). It was predominant at the left side of the face (46,15%) and in the are of V2 (61,54%) and V3 (21,16%). Most frequent risk factors were previous operations (80,77%) and dental interventions (15,39%). 73,07% of the patients were treated successfully. Because patients treated with non – opioid analgetics had a significantly worse outcome (p=0,01), the use should be reassessed giving therapy to this kind of disorder. Patients with persistent idiopathic facial pain had also a higher rate of females (64,29%). The median discomfort duration was 36 month with a predominent incidence on the left side of the face (42,86%). Most common anamnestic risk factors were previous operations (58,93%) and psychiatric disorders (55,36%). With our conservatice therapy 58,93% were treated successfully. Patients with comorbidities had a significant worse outcome (p=0,01), especially psychiatric dosorders had even a more worse success rate (p=0,002). Summarizing we had a positive outcome in 75,22% with our conservatice treatment.  de
dc.contributor.coReferee Petzke, Frank Prof. Dr.
dc.subject.ger Gesichtsschmerz de
dc.subject.ger Myoarthropathie de
dc.subject.ger Trigeminusneuralgie de
dc.subject.ger Trigeminusneuropathie de
dc.subject.ger anhaltender idiomatischer Gesichtsschmerz de
dc.subject.eng facial pain de
dc.subject.eng myoarthropathy de
dc.subject.eng trigeminal neuralgia de
dc.subject.eng trigeminal neuropathy de
dc.subject.eng persistent idiopathic facial pain de
dc.identifier.urn urn:nbn:de:gbv:7-11858/00-1735-0000-0028-877A-2-1
dc.affiliation.institute Medizinische Fakultät de
dc.subject.gokfull Zahn-, Mund- und Kieferheilkunde - Allgemein- und Gesamtdarstellungen (PPN619876360) de
dc.description.embargoed 2016-07-13
dc.identifier.ppn 861228154

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