Telemedicine for a Multidisciplinary Assessment of Orofacial Pain in a Patient Affected by Eagle’s Syndrome: A Clinical Case Report

Background: Orofacial pain has a broad range of origins and a multidisciplinary approach occupies a relevant role. Objective: The aim of this study was to review the literature regarding the evolution of telemedicine and orofacial pain related to a case report of a patient affected by Eagle's syndrome. Materials and Methods: Two authors (RJM and SG) independently reviewed the literature up to March 2020. A case report was developed by including the interdisciplinary assessment and initial treatment of orofacial pain in a 38-year-old female patient affected by Eagle’s syndrome. The patient was interviewed by two different specialists (from Rome, Italy and Los Angeles, California) through an online meeting platform in order to evaluate her complex situation, demonstrating the possibilities that telemedicine offered during the COVID-19 pandemic. Conclusion: An interdisciplinary approach can be performed for future follow ups on patients as various advantages were found by the patient and by the clinicians themselves.

Download Full-text

Chondrosarcoma in Mafucci’s syndrome – an interdisciplinary approach to a rare disease

Orvosi Hetilap ◽

10.1556/oh.2012.29386 ◽

2012 ◽

Vol 153 (26) ◽

pp. 1035-1038 ◽

Cited By ~ 1

Author(s):

Balázs Forgács

Keyword(s):

Case Report ◽

Ct Scan ◽

Multidisciplinary Approach ◽

Pulmonary Metastases ◽

Interdisciplinary Approach ◽

Thoracic Ct ◽

Upper And Lower Extremities ◽

The Right ◽

Thoracic Ct Scan ◽

Very High

Mafucci’s syndrome is a rare genetic but non-hereditary disorder, characterized by multiple enchondromas (enchondromatosis), hemangiomas and, rarely, lymphangiomas. The risk for malignant transformation of enchondromas is very high, and chondrosarcomas can develop which mainly metastatize to the lungs. A case report of a 61-years-old male, whose enchondromatosis developed at his age of 10 years, is described. The initial diagnosis had been Ollier’s disease at that time, and it was modified to Mafucci’s syndrome only in 1995 when hemangiomatosis developed on the right hand. He had a unilateral disorder affecting his right upper and lower extremities. In 2010, a chondrosarcoma developed on his right leg and amputation was performed. In 2012, a thoracic CT scan revealed pulmonary metastases on both sides. This case report underlines the importance of the multidisciplinary approach and cooperation between various specialties in diagnosing and early detecting this type of cancer. Orv. Hetil., 2012, 153, 1035–1038.

Download Full-text

Tapering chronic opioid therapy in neuropathic facial pain: An interdisciplinary approach

Journal of Opioid Management ◽

10.5055/jom.2008.0022 ◽

2018 ◽

Vol 4 (3) ◽

pp. 167 ◽

Cited By ~ 1

Author(s):

Brijesh P. Chandwani, BDS, FOP ◽

Ronald J. Kulich, PhD ◽

Lainie Andrew, PhD ◽

Steven Scrivani, DDS, DMedSc

Keyword(s):

Case Report ◽

Facial Pain ◽

Orofacial Pain ◽

Interdisciplinary Approach ◽

Opioid Therapy ◽

Chronic Opioid Therapy ◽

Opioid Treatment ◽

Chronic Orofacial Pain ◽

Long Acting ◽

Short Time

This case report presents a patient with chronic orofacial pain who was considered to be an appropriate candidate for chronic opioid therapy, a treatment uncommonly considered at most facial pain centers. Her opioid treatment proved ineffectual, and conservative approaches were addressed. She was successfully tapered off the use of a long-acting opioid within a relatively short time, using an interdisciplinary approach involving an aggressive biobehavioral approach.

Download Full-text

DOZ047.70: Prevalence of abnormal triple endoscopy findings for tracheoesophageal fistula patients in a multidisciplinary aerodigestive clinic

Diseases of the Esophagus ◽

10.1093/dote/doz047.70 ◽

2019 ◽

Vol 32 (Supplement_1) ◽

Author(s):

S Chowdhuri ◽

B Osterbauer ◽

M Bansal ◽

C Hochstim ◽

V Bhardwaj

Keyword(s):

Los Angeles ◽

Tracheoesophageal Fistula ◽

Multidisciplinary Approach ◽

Growth Failure ◽

Interdisciplinary Approach ◽

Type I ◽

Abnormal Finding ◽

Complex Needs ◽

Children's Hospital ◽

Children’S Hospital

Abstract Introduction Tracheoesophageal fistula (TEF) is a rare congenital defect involving malformations of the esophagus and trachea, which can be life-threatening if left untreated. Children who have undergone TEF repair often present with symptoms such as cough, vomiting, and growth failure. Although the variety of these symptoms implies a necessity for a multidisciplinary approach to care of TEF repair patients, many are still followed by a single discipline such as gastroenterology or pulmonology. The purpose of this study is to describe the experience of Children's Hospital Los Angeles Aerodigestive team in evaluating TEF patients using an interdisciplinary approach. In particular, we aim to explore the findings obtained during triple endoscopy in order to confirm the necessity of care by multiple specialties, ideally in the setting of an Aerodigestive Clinic. Methods Consent was obtained for all children (birth to 18 years) seen in the Children's Hospital Los Angeles (CHLA) Aerodigestive (AERO) Clinic between June 2016 and August 2018. All patients with a diagnosis of TEF were included in the study and data collected included: age, sex, presenting diagnoses and symptoms, and triple endoscopy findings. Results Of the first 109 patients in the AERO Clinic, 18 had TEF. Of these, 7 (39%) were female with a mean age of 3.4 years (SD 3), and 44% were Hispanic. Ten TEF patients underwent triple endoscopy and all had at least one abnormal finding. Six were diagnosed with laryngeal cleft (LC); four type I, one type II, and one was unspecified. Other abnormal findings included: bronchomalacia (7), tracheomalacia (8), esophagitis (4), gastritis (2), and duodenitis (1). Additionally, 7 had an abnormal bronchoalveolar lavage (BAL) finding, with 6 culture positive results. Conclusion TEF patients can present with feeding and respiratory difficulties months to years after their surgical repair. The triple endoscopy findings of TEF patients presented in this study illustrate that symptoms may arise from the gastrointestinal or respiratory tract. Our experience with TEF patients at CHLA indicates that a multidisciplinary approach to evaluation and management is necessary to serve the complex needs of this population.

Download Full-text

Eagle's syndrome with type III segmented styloid process: A case report

CODS Journal of Dentistry ◽

10.5005/cods-6-1-61 ◽

2014 ◽

Vol 6 (1) ◽

pp. 61-63

Author(s):

Maria Priscilla David ◽

V.A Usha ◽

G.P Mamatha

Keyword(s):

Case Report ◽

Orofacial Pain ◽

Styloid Process ◽

Eagle’S Syndrome ◽

Anatomical Structures ◽

Type Iii ◽

Elongated Styloid Process ◽

Surgical Reduction ◽

Uncommon Condition ◽

Stylohyoid Ligament

Abstract Eagle's syndrome is not an uncommon condition, but it is less known to Physicians where an elongated styloid process or calcified stylohyoid ligament compresses the adjacent anatomical structures leading to orofacial pain. Pain often gets relieved by surgical reduction of styloid process. Recently depending on the calcification it has been classified as three types. A case of Eagle's syndrome is reported here. How to cite this article Usha VA, Mamatha GP, Maria PD. Eagle's syndrome with type III segmented styloid process. A case report. CODS J Dent 2014;6;61-63

Download Full-text