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A. Recurrent pain in one or more regions of the head or face fulfilling criteria C and D; B. X-ray, MRI or bone scintigraphy demonstrate TMJ disorder; C. Evidence that pain can be attributed to the TMJ disorder, based on at least one of the following: pain is precipitated by jaw movements or chewing of hard or tough food
Temporomandibular joint pain is generally due to one of four reasons. Myofascial pain dysfunction syndrome, primarily involving the muscles of mastication. This is the most common cause. Internal derangements, an abnormal relationship of the disc to any of the other components of the joint. Disc displacement is an example of internal derangement.
The head rests on the top part of the vertebral column, with the skull joining at C1 (the first cervical vertebra known as the atlas). The skeletal section of the head and neck forms the top part of the axial skeleton and is made up of the skull, hyoid bone, auditory ossicles, and cervical spine. The skull can be further subdivided into:
The occipital lymph nodes, one to three in number, are located on the back of the head close to the margin of the trapezius and resting on the insertion of the semispinalis capitis. Their afferent vessels drain the occipital region of the scalp , while their efferents pass to the superior deep cervical glands .
The submasseterric space (also termed the masseteric space) is a fascial space of the head and neck (sometimes also termed fascial spaces or tissue spaces). It is a potential space in the face over the angle of the jaw, and is paired on each side.
Tension headache, stress headache, or tension-type headache (TTH), is the most common type of primary headache. The pain usually radiates from the lower back of the head, the neck, the eyes, or other muscle groups in the body typically affecting both sides of the head. Tension-type headaches account for nearly 90% of all headaches.
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This nerve, as it courses posteriorly to the condylar head, is frequently injured in temporomandibular joint (TMJ) surgery, causing an ipsilateral paresthesia of the auricle and skin surrounding the ear. It is the main nerve that supplies the TMJ, along with branches of the masseteric nerve and the deep temporal.
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