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논문KCI 등재

악관절 내장증 치료를 위한 악관절 세정술 후 관절강내 Hyaluronic Acid 주입 효과

The effect of intra-articular injection of hyaluronic acid after arthrocentesis in treatment of internal derangements of the TMJ

김재진
대한구강악안면외과학회 (Korean Association Of Oral And Maxillofacial Surgeons)|2006.10|대한구강악안면외과학회지 (Journal of the Korean Association of Oral and Maxillofacial Surgeons)|제32권 제5호|pp. 453-

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참고문헌

주제분류치의학

초록

Abstract

This study was designed to investigate the effect of intra-articular injection of hyaluronic acid for the treatment of internal derangements of the temporomandibular joint(TMJ). Sixteen patients with internal derangements of TMJ in 1 male and 15 females aged 68 to 18 years comprised the study material. The patients’complaint was limited mouth opening and pain during function. Patients were divided into 3 groups(articular disc displacement with reduction, articular disc displacement without reduction, osteoarthritis group). The preauricular area was disinfected anesthetized locally with 2% lidocaine hydrochloride. Arthrocentesis was performed. Hyaluronic acid(1.5 ㏄) was then injected into the superior compartment of the TMJ. Active range of motion exercises were instituted at approximately 24 hours postoperatively. Antibiotics and NSAID, three times daily by mouth, was prescribed for 3 days. Clinical evaluation of the patients was done before the procedure, immediately after the procedure, final follow-up visit postoperatively. Pain during function was assessed using visual analog scales(VAS). Maximal mouth opening was recorded as a distance between upper incisal edge and lower incisal edge. Intra-articular injection of hyaluronic acid caused significant reduction of pain during function, significant increase of maximal opening range. These findings suggest that intra-articular injection of hyaluronic acid is useful for decreasing patient reports of pain while increasing functional mobility of the mandible in internal derangements of the TMJ.

참고문헌 (30)

  1. "Arthroscopy of the temporomandibular joint", 42, pp.207~213 (1975)
  2. "Arthroscopic lavage and lysis of the temporomandibular joint:A change in perspective", 48, pp.798~801 (1990)
  3. "Temporomandibular joint arthrocentesis:A simplified treatment for severe limited mouth opening", 49, pp.1163~1167 (1991)
  4. "Pharmacologic treatments for temporomandibular disorders", 83, pp.134~142 (1997)
  5. "Pressurized infusion of sodium hyaluronate for closed lock of the temporomandibular joint", pp.68~72
  6. "The short-term effect of intra-articular injections of sodium hyaluronate and corticosteroid on temporomandibular joint pain and dysfunction", 43, pp.429~435 (1985)
  7. "Current concepts in the surgical management of temporomandibular joint disorders", 52, pp.289~294 (1994)
  8. "Arthroscopic surgery of closed lock", 49, pp.704~707 (1991)
  9. "Prospective comparison of arthroscopy and arthrocentesis for temporomandibular joint disorders", 54, pp.816~820 (1996)
  10. "Long-term evaluation of arthrocentesis for the treatment of internal derangements of the temporomandibular joint", 58, pp.852~855 (2000)
  11. "Clinical application of arthroscopy in the temporomandibular joint diseases", 27, pp.141~150 (1980), Bull Tokyo Med Dent Univ
  12. "The effect of arthroscopic surgical lysis and lavage of the superior joint space on TMJ disc positionand mobility", 47, pp.674~678 (1989)
  13. "Effect of intra-articular corticosteroid injections on primate cartilage", 36, pp.74~79 (1976)
  14. "Repeated corticosteroid injections into knee joints", 16, pp.137~140 (1977)
  15. "Intra-articular treatment of arthritis in racehorses with sodium hyaluronate", 17, pp.379~394 (1976)
  16. "The long-term effect of intra-articular injections of sodium hyaluronate and corticosteroid ontemporomandibular joint arthritis", 45, pp.929~935 (1987)
  17. "Conservative treatment of temporomandibular joint osteoarthrosis:intra-articular injection ofsodium hyaluronate", 32, pp.729~734 (2005)
  18. "Efficacy of temporomandibular joint arthrocentesis with and without injection of sodium hyaluronate intreatment of internal derangements", 59, pp.613~618 (2001)
  19. "Patterns of induced variation in the morphology,hyaluronic acid secretion and lysosomal enzyme activityof cultured synovial cells", 38, pp.287~294 (1979)
  20. "The physical properties of synovial fluid and the special role of hyaluronic acid Disorders of the Knee", pp.61~64 (1974), Lippincott
  21. "Effect on the intra-articular injection of hyaluronic acid on the clinical symptoms of osteoarthritis and ongranulation tissue formation", 80, pp.25~32 (1971)
  22. "Studies on analgesic and anti-inflammatory effects of sodium hyaluronate", 228, pp.1123~1135 (1984)
  23. "Concentration and molecular weight of sodium hyaluronate in synovial fluid from patients with rheumatoid arthritis and other arthropathies.Ann", 44, pp.817~822 (1985)
  24. "A pathological role for damaged hyaluronan in synovitis", 50, pp.196~200 (1991)
  25. "Hyaluronan fragments induce nitric-oxide synthase in murine macrophage through a nuclear factor cob-dependent mechanism", 272, pp.8013~8018 (1997)
  26. "Adehesive force:the underlying cause of the disc anchorage to the fossa and", or eminence in the temporomandibular joint - a new concept, 2002, pp.31, 94~99
  27. "Intraarticular hyaluronan injections in the treatment of osteoarthritis:state-of-the-art review", 20, pp.17~27 (1993)
  28. "Septic arthritis due to Actinomyces naeslundii:report of a case", 69, pp.499~501 (2002)
  29. "Efficacy of intraarticular hyaluronic acid injections in knee osteoarthritis", 390, pp.173~181 (2001)
  30. "Necrosis of the articular tubercle after repeated injections of sodium hyaluronate in temporomandibularjoint.A case report", 27, pp.278~279 (1998)

관련 논문AI추천

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