Orofacial pain induced by Eagle syndrome in an elderly patient with temporomandibular disorders - a case report

Gerodontology. 2016 Sep;33(3):428-31. doi: 10.1111/ger.12160.

Abstract

Background: Eagle syndrome (ES) is a rare disorder that can be responsible for orofacial pain.

Objective: To describe the treatment of an elderly patient affected by ES and temporomandibular disorders (TMD).

Materials and methods: A patient complained of constant pain of the right temporomandibular joint (TMJ) and of the sensation of having a foreign body in the throat. Based on the patient's medical history and symptoms, a TMJs internal derangement and concomitant ES were suspected. A magnetic resonance and a computerised tomography confirmed the clinical diagnosis. A conservative treatment was initially performed to re-establish a functional occlusion.

Results: The rehabilitative treatment alleviated the pain almost totally. A slight residual uncomfortable sensation of the presence of a foreign body in the throat persisted after the oral rehabilitation but without any influence on the quality of life.

Conclusion: In elderly patients complaining a chronic orofacial pain, the possibility of a concomitant TMD and ES has to be considered to correctly identify the source of pain. A conservative approach to identify weather TMD is the main source of pain is preferable, avoiding unnecessary invasive treatments.

Keywords: Eagle syndrome; elders; temporomandibular disorders; treatment.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Facial Pain / etiology*
  • Humans
  • Magnetic Resonance Imaging
  • Ossification, Heterotopic / diagnostic imaging
  • Ossification, Heterotopic / etiology*
  • Quality of Life
  • Temporal Bone / abnormalities*
  • Temporal Bone / diagnostic imaging
  • Temporomandibular Joint Disorders / complications*
  • Temporomandibular Joint Disorders / diagnostic imaging
  • Tomography, X-Ray Computed

Supplementary concepts

  • Eagle syndrome