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하악골 골절 환자의 치료시 상관절강 세정술의 유용성 평가

Evaluation of efficacy of TMJ arthrocentesis in the patients with mandibular fracture

김지홍|김영균|윤필영
대한구강악안면외과학회 (Korean Association Of Oral And Maxillofacial Surgeons)|2005.12|대한구강악안면외과학회지 (Journal of the Korean Association of Oral and Maxillofacial Surgeons)|제31권 제6호|pp. 532-535

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참고문헌

주제분류치의학

초록

Abstract

The objective of this study is assessment of the efficacy of upper joint space arthrocentesis on prevention of TMJ injury from patient with mantibular fractures. We divided the patients into two groups, one which consist of 24 patients who are taken arthrocentesis while open reduction of mandibular fracture, the other which consist of 27 patients without arthrocentesis from Jan 1999 to Dec 2001. We measured maximum mouth opening, excursive movement range respectively one week, one month, three months later after operation. The patients were instructed to mark on 10 cm VAS for evaluation of TMJ pain during resting, mouth opening, and mastication. We evaluated the signs and symptoms of temporomandibular disorder clinically and radiographically 6 months later. The result of this study is that there is a reduction of pain and increase of range of mandibular motion in both groups but in patients with arthrocentesis there is relatively reduction of pain and increase of range of mandibular motion compared with control group. On the points of 6 months later, temporomandibular disorder occurred in 4 patients (16.7%) in group with arthrocentesis and 13 patients (47.1%) in control group. In conclusion, we think that supplemental therapy such as arthrocentesis is helpful for the recovery of jaw function and prevention of the development of temporomandibular disorder after facial trauma.

참고문헌 (25)

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관련 논문AI추천

하악과두골절시 Arthrocentesis와 Lavage를 이용한 치험에 관한 연구윤옥병대한구강악안면외과학회 · 대한구강악안면외과학회지2002 · 제28권 제4호하악골 과두하 골절 시 후하악접근법 통해 ORIF시행한 환자들의 술 후 추적조사김성곤, 김좌영, 송경호, 송상훈, 양병은, 이슬기, 최원철대한구강악안면외과학회 · 대한구강악안면외과학회지2007 · 제33권 제6호하악골 과두경부 골절의 정복술 시 retromandibular approach의 유용성에 관한 고찰백진아대한구강악안면외과학회 · 대한구강악안면외과학회지2007 · 제33권 제6호하악 과두하 골절시 구강내 접근의 문헌 고찰과 임상 연구박준우, 서현수, 유승은, 홍순민대한구강악안면외과학회 · 대한구강악안면외과학회지2008 · 제34권 제6호악관절 내장증 치료를 위한 악관절 세정술 후 관절강내 Hyaluronic Acid 주입 효과김재진대한구강악안면외과학회 · 대한구강악안면외과학회지2006 · 제32권 제5호Mini-implant를 이용한 하악골 우각부 골절의 효과적인 정복; 증례보고양병은, 최영준, 최원철대한구강악안면외과학회 · 대한구강악안면외과학회지2007 · 제33권 제4호

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