Journal of the Korean Association of Oral and Maxillofacial Surgeons

  • 제29권6호
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  • Pages.392-396
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  • 2003
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  • 2234-7550(pISSN)
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  • 2234-5930(eISSN)
대한구강악안면외과학회 (The Korean Association of Oral and Maxillofacial Surgeons)
권호 표지

비정복성 관절원판 변위환자들에서 악관절세척술의 술후 예측 인자들에 관한 연구

THE STUDY OF THE PREDICTORS IN ARTHROCENTESIS AND LAVAGE OF TEMPOROMANDIBULAR JOINT DISORDER : RETROSPECTIVE EVALUATION OF ANTERIOR DISC DISPLACEMENT WITHOUT REDUCTION

  • 김철훈 (동아대학교 의과대학 치과학교실) ;
  • 황희성 (동아대학교 의과대학 치과학교실) ;
  • 신상훈 (부산대학교 치과대학 구강악안면외과학교실)
  • Kim, Cheol-Hun (Department of Dentistry, Medical college, Dong-A University) ;
  • Hwang, Hie-Seong (Department of Dentistry, Medical college, Dong-A University) ;
  • Sin, Sang-Hun (Department of Oral & Maxillofacial Surgery, College of Dentistry, Pusan University)
  • 발행 : 2003.12.31
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초록

Purpose : The purpose of this study was to find the predictors for successful arthrocentesis for anterior disc displacement without reduction(ADD without Reduction) of the temporomandibular joint (TMJ). Patients and Methods : Arthrocentesis and lavage was carried out in 25TMJs of 22patients whose MRI findings were all anterior disc displacement without reduction. The effectiveness of the treatment was evaluated in terms of the postoperative range of maximal mouth opening (MMO) and the degree of postoperative pain score. Predectors which was analyzed were age, duration of painful locking, MMO, the degree of pain, perioperative clicking and the amounts of irrigation fluid. Results: 18cases (72%) was included to criteria for success. There were no significant differences in age, duration of locking, MMO and the degree of pain statistically. But In 15cases(83%) of successful cases, amouts of irrigated solution recovered to normal MMO were less than 150ml. And In 8cases (44%) of successful cases, perioperative clicking was appeared. Conclusion : Amounts of irrigated solution recovered to normal MMO and the appeareance of perioperative clkicking may be predictors of the successful results of arthrocenetesis of ADD without reduction of TMJ.

키워드

참고문헌

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