DOI QR코드

DOI QR Code

Pterygoid hamulus bursitis as a cause of craniofacial pain: a case report

  • Cho, Jin-Yong (Department of Oral and Maxillofacial Surgery, Section of Dentistry, SMG-SNU Boramae Medical Center) ;
  • Cheon, Kang-Yong (Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University) ;
  • Shin, Dong-Whan (Department of Oral and Maxillofacial Surgery, Section of Dentistry, SMG-SNU Boramae Medical Center) ;
  • Chun, Won-Bae (Department of Oral and Maxillofacial Surgery, Section of Dentistry, SMG-SNU Boramae Medical Center) ;
  • Lee, Ho (Department of Oral and Maxillofacial Surgery, Section of Dentistry, SMG-SNU Boramae Medical Center)
  • Received : 2013.03.14
  • Accepted : 2013.05.07
  • Published : 2013.06.30

Abstract

Pain on the soft palate and pharynx can originate in several associated structures. Therefore, diagnosis of patients who complain of discomfort in these areas may be difficult and complicated. Pterygoid hamulus bursitis is a rare disease showing various symptoms in the palatal and pharyngeal regions. As such, it can be one of the reported causes of pain in these areas. Treatment of hamular bursitis is either conservative or surgical. If the etiologic factor of bursitis is osteophytic formation on the hamulus or hypertrophy of the bursa, resection of the hamulus is usually the preferred surgical treatment. We report on a case of bursitis that was managed successfully by surgical treatment and a review of the literature.

Keywords

References

  1. Ghosh LM, Dubey SP. The syndrome of elongated styloid process. Auris Nasus Larynx 1999;26:169-75. https://doi.org/10.1016/S0385-8146(98)00079-0
  2. Love JG. Diagnosis and treatment of glossopharyngeal neuralgia. Ann Surg 1941;113:1078-9.
  3. Raustia AM, Oikarinen KS, Luotonen J, Salo T, Pyhtinen J. Parotid gland carcinoma simulating signs and symptoms of craniomandibular disorders--a case report. Cranio 1993;11:153-6. https://doi.org/10.1080/08869634.1993.11677957
  4. Brooke RI, Stenn PG, Mothersill KJ. The diagnosis and conservative treatment of myofascial pain dysfunction syndrome. Oral Surg Oral Med Oral Pathol 1977;44:844-52. https://doi.org/10.1016/0030-4220(77)90028-7
  5. Youniss S. The relationship between craniomandibular disorders and otitis media in children. Cranio 1991;9:169-73. https://doi.org/10.1080/08869634.1991.11678364
  6. Shankland WE 2nd. Bursitis of the hamular process. Part I: anatomical and histological evidence. Cranio 1996;14:186-9. https://doi.org/10.1080/08869634.1996.11745967
  7. Putz R, Kroyer A. Functional morphology of the pterygoid hamulus. Ann Anat 1999;181:85-8. https://doi.org/10.1016/S0940-9602(99)80099-5
  8. Shankland WE 2nd. Bursitis of the hamular process. Part II: diagnosis, treatment and report of three case studies. Cranio 1996;14:306-11. https://doi.org/10.1080/08869634.1996.11745982
  9. Gores RJ. Pain due to long hamular process in the edentulous patient. Report of two cases. J Lancet 1964;84:353-4.
  10. Eyrich GK, Locher MC, Warnke T, Sailer HF. The pterygoid hamulus as a pain-inducing factor. A report of a case and a radiographic study. Int J Oral Maxillofac Surg 1997;26:275-7.
  11. Dupont JS Jr, Brown CE. Comorbidity of pterygoid hamular area pain and TMD. Cranio 2007;25:172-6. https://doi.org/10.1179/crn.2007.027
  12. Shankland WE 2nd. Pterygoid hamulus bursitis: one cause of craniofacial pain. J Prosthet Dent 1996;75:205-10. https://doi.org/10.1016/S0022-3913(96)90100-6
  13. Wooten JW, Tarsitano JJ, Reavis DK. The pterygoid hamulus: a possible source for swelling erythema, and pain: report of three cases. J Am Dent Assoc 1970;81:688-90. https://doi.org/10.14219/jada.archive.1970.0301
  14. Ramirez LM, Ballesteros LE, Sandoval GP. Hamular bursitis and its possible craniofacial referred symptomatology: two case reports. Med Oral Patol Oral Cir Bucal 2006;11:E329-33.
  15. Salins PC, Bloxham GP. Bursitis: a factor in the differential diagnosis of orofacial neuralgias and myofascial pain dysfunction syndrome. Oral Surg Oral Med Oral Pathol 1989;68:154-7. https://doi.org/10.1016/0030-4220(89)90183-7
  16. Hertz RS. Pain resulting from elongated pterygoid hamulus: report of case. J Oral Surg 1968;26:209-10.
  17. Kronman JH, Padamsee M, Norris LH. Bursitis of the tensor veli palatini muscle with an osteophyte on the pterygoid hamulus. Oral Surg Oral Med Oral Pathol 1991;71:420-2. https://doi.org/10.1016/0030-4220(91)90420-H
  18. Sasaki T, Imai Y, Fujibayashi T. A case of elongated pterygoid hamulus syndrome. Oral Dis 2001;7:131-3. https://doi.org/10.1034/j.1601-0825.2001.70212.x
  19. Odoi H, Proud GO, Toledo PS. Effects of pterygoid hamulotomy upon eustachian tube function. Laryngoscope 1971;81:1242-4. https://doi.org/10.1288/00005537-197108000-00007
  20. Noone RB, Randall P, Stool SE, Hamilton R, Winchester RA. The effect on middle ear disease of fracture of the pterygoid hamulus during palatoplasty. Cleft Palate J 1973;10:23-33.
  21. Kane AA, Lo LJ, Yen BD, Chen YR, Noordhoff MS. The effect of hamulus fracture on the outcome of palatoplasty: a preliminary report of a prospective, alternating study. Cleft Palate Craniofac J 2000;37:506-11. https://doi.org/10.1597/1545-1569(2000)037<0506:TEOHFO>2.0.CO;2
  22. Spauwen PH, Hillen B, Lommen E, Otten E. Three-dimensional computer reconstruction of the eustachian tube and paratubal muscles. Cleft Palate Craniofac J 1991;28:217-9. https://doi.org/10.1597/1545-1569(1991)028<0217:TDCROT>2.3.CO;2
  23. Swarts JD, Rood SR. The morphometry and three-dimensional structure of the adult eustachian tube: implications for function. Cleft Palate J 1990;27:374-81. https://doi.org/10.1597/1545-1569(1991)027<0374:TMATDS>2.3.CO;2
  24. Barsoumian R, Kuehn DP, Moon JB, Canady JW. An anatomic study of the tensor veli palatini and dilatator tubae muscles in relation to eustachian tube and velar function. Cleft Palate Craniofac J 1998;35:101-10. https://doi.org/10.1597/1545-1569(1998)035<0101:AASOTT>2.3.CO;2

Cited by

  1. Pterygoid Hamular Bursitis: A Possible Link to Craniofacial Pain vol.2018, pp.None, 2013, https://doi.org/10.1155/2018/5108920
  2. Functional morphometry of the pterygoid hamulus. A comparative study of modern and medieval populations vol.82, pp.4, 2019, https://doi.org/10.2478/anre-2019-0029
  3. Pterygoid hamulus syndrome: a case report vol.26, pp.4, 2013, https://doi.org/10.1051/mbcb/2020021
  4. A case of pterygoid hamulus bursitis improved by pterygoid hamulus excision vol.66, pp.10, 2013, https://doi.org/10.5794/jjoms.66.516