Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
권호 표지

CHANGES OF REFERRED SYMPTOMS FOLLOWING SURGICAL TREATMENT IN PATIENTS DIAGNOSED AS TMJ INTERNAL DERANGEMENT

악관절 내장증의 증상 중 연관통의 악관절 수술 후 변화

  • Kim, Hyung-Gon (Dept. of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University) ;
  • Park, Kwang-Ho (Dept. of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University) ;
  • Huh, Jong-Ki (Dept. of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University) ;
  • Yoon, Hyun-Joong (Dept. of Dentistry, College of Medicine, Catholic University of Korea) ;
  • Kim, Ki-Young (Dept. of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University) ;
  • Nam, Kwang-Hyun (Dept. of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University)
  • 김형곤 (연세대학교 치과대학 구강악안면외과학 교실) ;
  • 박광호 (연세대학교 치과대학 구강악안면외과학 교실) ;
  • 허종기 (연세대학교 치과대학 구강악안면외과학 교실) ;
  • 윤현중 (가톨릭대학교 의과대학 치과학 교실) ;
  • 김기영 (연세대학교 치과대학 구강악안면외과학 교실) ;
  • 남광현 (연세대학교 치과대학 구강악안면외과학 교실)
  • Received : 1998.11.30
  • Accepted : 1999.01.20
  • Published : 1999.03.31
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Abstract

Purpose: The aim of this study was to investigate the improvement of referred symptoms of TMJ internal derangement after open surgery of TMJ. Materials and Methods: The present study focused referred symptoms such as headache, neck pain, shoulder pain and evaluated the incidences and changes in their improvement at 1, 3, 6, 12 months after surgery in 118 patients who had TMJ internal derangement and received meniscoplasty(or meniscorrhaphy) and eminectomy at TMJ clinic of Yonsei University, Yongdong Severance Hospital, between 1992 and 1997. Results: One hundred eighteen patients(102 females, 16 males) with mean age of 29.6 years(range, 14 to 74) were included in this study and the mean follow-up period was 19.5 months(range, 12 to 60). The incidences of headache, neck pain, shoulder pain among the surgically treated TMJ internal derangement patients were 66.9%, 28.8%, 28.0% before surgery. Thirty-two preoperative severe(+++) headache patients were all improved their headache at 1, 3, 6 months after surgery, but slight relapse(9.4%) was found at 12 months after surgery. The clearance rate of preoperative neck and shoulder pain were 91.2% and 90.9% at 1 month after surgery and all of these groups had no pain at 12 months after surgery. Conclusions: Referred symptoms of TMJ internal derangement such as headache, neck pain, shoulder pain were dramatically improved after surgical treatment of TMJ.

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