Please use this identifier to cite or link to this item: https://www.um.edu.mt/library/oar/handle/123456789/59500
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dc.contributor.authorAgius, Adrian M.-
dc.contributor.authorJones, N. S.-
dc.contributor.authorMuscat, Richard-
dc.date.accessioned2020-08-17T09:14:32Z-
dc.date.available2020-08-17T09:14:32Z-
dc.date.issued2014-
dc.identifier.citationAgius, A. M., Jones, N. S., & Muscat, R. (2014). Prospective three-year follow up of a cohort study of 240 patients with chronic facial pain. The Journal of Laryngology & Otology, 128(6), 518-526.en_GB
dc.identifier.urihttps://www.um.edu.mt/library/oar/handle/123456789/59500-
dc.description.abstractBackground: Patients often present with facial pain ascribed to sinusitis, despite normal nasal endoscopy and sinus computed tomography. Facial pain is increasingly recognised to be of neurological origin. Method: A cohort of 240 patients with chronic facial pain was followed up for 36 months at an otolaryngological practice in Malta. The types of facial pain were classified according to International Headache Classification criteria. The body mass index, occupation and educational level of patients were compared with the general population. Results: Tension-type mid-facial pain and facial migraine without aura were the most common types of chronic facial pain. The sites of pain, symptoms, treatment and outcomes for these principal pain types are discussed. Patients with mid-facial pain were treated with low-dose amitriptyline for eight weeks. After three years, nearly half of the patients were symptom free, and in a third the pain changed from being chronic to being episodic. The treatment of patients with facial migraine was more varied but the length of time until recurrence of pain was similar. Conclusion: The most effective long-term treatments for tension-type mid-facial pain and facial migraine were low-dose amitriptyline and low-dose amitriptyline and triptans, respectively.en_GB
dc.language.isoenen_GB
dc.publisherCambridge University Pressen_GB
dc.rightsinfo:eu-repo/semantics/openAccessen_GB
dc.subjectFacial painen_GB
dc.subjectMigraine -- Treatmenten_GB
dc.subjectHeadache -- Treatmenten_GB
dc.subjectChronic pain -- Treatmenten_GB
dc.subjectSinusitis -- Treatmenten_GB
dc.titleProspective three-year follow up of a cohort study of 240 patients with chronic facial painen_GB
dc.typearticleen_GB
dc.rights.holderThe copyright of this work belongs to the author(s)/publisher. The rights of this work are as defined by the appropriate Copyright Legislation or as modified by any successive legislation. Users may access this work and can make use of the information contained in accordance with the Copyright Legislation provided that the author must be properly acknowledged. Further distribution or reproduction in any format is prohibited without the prior permission of the copyright holderen_GB
dc.description.reviewedpeer-revieweden_GB
dc.identifier.doi10.1017/S0022215114000929-
dc.publication.titleThe Journal of Laryngology & Otologyen_GB
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