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诉说颜面疼痛及头痛的病人经常向医生提出了困惑的问题。当找不到疼痛病源时就经常怀疑内潜在性情绪障碍。有一些病人可能的确存在精神方面的问题,但也可能具有两种最常见的慢性头痛疾病:偏头痛及紧张性头痛(Tension headache)。本文的目的是讨论引起颜面疼痛、头痛的鼻、鼻窦疾病。作者介绍了产生疼痛的解剖分布、特征及研究资料。解剖方面的考虑鼻部的一般感觉神经来源于三叉神经前两支。三叉神经是最大的颅神经,也是颜面的主要感觉神经。对颜面解剖的认识有助于对颜面疼痛机理的理解。根据作者们的认识,嗅神经与本文
Patients who complain of facial pain and headaches often ask confused questions with their doctors. When the source of pain can not be found, it is often suspected of potential emotional disorders. Some patients may indeed have mental problems, but may also have two of the most common chronic headache disorders: migraine and tension headache. The purpose of this article is to discuss the nasal and sinus diseases that cause facial pain and headaches. The author describes the anatomical distribution of pain, characteristics and research data. Anatomical considerations The nasal sensory nerves come from the first two branches of the trigeminal nerve. Trigeminal nerve is the largest cranial nerve, but also the main facial sensory nerve. Awareness of facial anatomy helps to understand the mechanism of facial pain. According to the author’s understanding, olfactory nerves and this article