In Part II, the symptoms and the process of diagnosis of bursitis of the hamular process is presented. Additionally, recommended treatment options will be. tini muscle was demonstrated and described histologically. ln Part Il, the symptoms and the process of diagnosis of bursitis of the hamular process is presentee!. Pain originating from the throat may emanate from many different structures. The stylohyoid and stylomandibular ligaments are known as.

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It has been reported that pain in the palate and pharynx can be caused by elongated hamulag processes 1glossopharyngeal neuralgia 2salivary gland tumors 3myofascial pain dysfunction syndrome 4temporomandibular disorders, otitis media 5and impacted third molars.

Anatomical observation of a craniomandibular muscle originating from the skull base: Three disorders that frequently cause temporomandibular joint pain: Surgical management of refractory craniomandibular pain using radiofrequency thermoneurolysis: It means that such condition has no potential to be neuropathic disease but is just an inflammatory disease. The overlying palatal mucosa was normal. Abstract A striking feature of the skull base is the pterygoid hamulus known for its bizarre morphology and biomechanical location.

The pterygoid hamulus or bursa is removed, but the tendon of the tensor veli palatini is left intact if at all possible. The baffling nature of the coexisting pain conditions distant from the source of nociception had perplexed us in arriving at a definitive diagnosis.


The purpose of this article is to present a case of bursitis that was managed successfully through surgical treatment and discuss the hamularr associated with pterygoid hamulus bursitis with literature review.

Following the incision of the overlying mucosa, surgical exposure of the pterygoid hamulus was performed using dissecting scissors. Computed tomography scans showing medially protruded pterygoid hamulus arrow. Therefore, diagnosis of patients who complain of discomfort in these areas may be difficult and complicated.

Bursitis hamular, Sintomatología ótica y craneofacial referida

Putz R, Kroyer A. Thus, hamulotomy was performed.

Nonetheless, Noone et al. A variation in the anatomic position of the pterygomandibular raphe: Diagnosis and treatment of glossopharyngeal neuralgia. Los estudios de Barsoumian y Col. She had been undergoing treatment that bursiris administering antibiotics and nonsteroidal anti-inflammatory drugs for otic pain with stuffiness at several otorhinolaryngology clinics.

The hamular process is visible on cephalometric radiographs. Intraoperative photograph showing the pterygoid hamulus. Following a failure of conservative remedies in the past, a prominent elongated hamular process Specifically, the chief cause of pain of the hamular process appears to be inflammation or bursitis of the synovial bursa of the process.

Pterygoid Hamular Bursitis: A Possible Link to Craniofacial Pain

Three-dimensional computer reconstruction of the eustachian tube and paratubal muscles. Anatomic relationships between the human levator and tensor veli palatini and the eustachian tube. The pterygoid plates arise laterally and medially from the inferior surface of the side of the body and from the root of the greater wings and pass vertically downwards. The primary function of the bursae is to diminish the friction over the hamular process by the tendon of tensor veli palatini muscle and to make normal movement painless 7.


The apparently normal clinical picture of the oral cavity can perplex the clinician.

In this article, Dr. Photomicrogrphic evidence of insertion tendonosis: Bursitis of the hamular process part I: Omega-3 Fatty Acids and Neuropathic Pain.

Case Reports in Surgery

The effect on middle ear disease of fracture of the pterygoid hamulus during palatoplasty. There has always been a constant communication between the mind and body, and chronic pain patients need to have a positive outlook. Functional anatomy of the tensor palati. I believe his description and documentation of the Zygomandibularis muscle and Hamular Bursitis has added another significant link in solving orofacial pain, as will be seen in this article.

Case Reports in Surgery. In addition to the surgical procedure, she also had a session of cognitive behavioral therapy considering the psychosocial aspect of chronic orofacial pain.

Abstract Pain on the soft palate and pharynx can originate in several associated structures.