• 대한두개안면성형외과학회지
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• 제9권2호
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• pp.51-54
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• 2008

Purpose: The choice of open versus closed reduction for mandibular subcondylar fracture is a debatable issue. To evaluate the advantage of open approach to closed method with IMF(intermaxillary fixation), we conducted a retrospective study to compare the outcomes of each method. Methods: From 2002 to 2006, 29 patients with mandibular subcondylar fractures were treated by open or closed reduction. 17 patients were treated by open reduction and 12 patients by closed reduction and IMF. Each group was assessed for duration of mandibular immobilization, incidences of buccal palsy, malocclusion, TMJ(temporomandibular joint) pain, and deviation of the mandible on mouth opening. Results: All cases showed accurate reduction in anatomical position, no significant displacement and no deviation on mouth opening during the follow-up period. IMF period is statistically shorter in open reduction (p<0.05). Differences in incidence of other complications were not significant statistically. Conclusion: As there are significant independent morbidities associated with IMF which requires postoperative rehabilitation, prolonged temporomandibular immobilization should not be overlooked. Some patients with poor compliances will not tolerate IMF in nonsurgical treatment. In the aspect of patient's convenience and early recovery by short IMF period, open reduction would be recommended as a better treatment method.

• Imaging Science in Dentistry
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• 제32권2호
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• pp.113-118
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• 2002

Ankylosis of joint is defined as limited movement due to infection, trauma, or surgical procedure. A 59-year-old female with a chief complaint of limited movements during mouth opening had a positive history of trauma to her right TMJ area about 5 years ago. From that time, progressive mouth opening limitation and intermittent pain have occurred. At the time of admission the patient showed mandibular deviation to the right side during mouth opening, with a maximum opening limited to 5 mm. On plain radiographs, right condylar enlargement and joint space reduction by newly formed bony tissues were observed. CT scans showed right condylar enlargement, cortical sclerosis, and thickening of the condyle, articular fossa and articular eminence.

• Imaging Science in Dentistry
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• 제30권3호
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• pp.217-222
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• 2000

A 31-year-old male with the complaint of severe limitation of mouth opening was referred to our department of Chonbuk National University Hospital. The physical status of the patient was hyposthenic. Extraoral examination showed no condylar movement of the both temporomandibular joints, no pain, no facial swelling or paresthesia. Intraoral examination showed several cervical caries on the upper anterior teeth, and gingival swelling on the whole dentition. Transcranial view showed no condylar movement, and narrowing of joint spaces. Chest P-A view showed straightening of thoracic, lumbar spine, and squaring of vertebrae of the same spines. Conventional lateral radiograph of cervical spine showed calcification of the intervertebral ligament. Computed tomograph showed extensive bone formation between temporal bone and the condylar head at both sides. Laboratory findings showed positive reaction on HLA-B27 histocompatibility antigen and increased level of IgA, IgG, ESR. Based on the clinical, radiographic, and the laboratary findings, final diagnosis was made as bony ankylosis of the both temporomandibular joints secondary to ankylosing spondylitis.

• Journal of Acupuncture Research
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• 제19권1호
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• pp.76-83
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• 2002

Forteen cases were observed among the Temporomandibular Disorder who were outpatients at the Department of Acupuncture & Moxibustion Oriental Medical Hospital, Dae Jeon University. Objective : To improve the therapeutic rate of Temporomandibular Disorder by treatment of acupuncture, chiropractic therapy and exercise therapy. Methods : Forteen outpatients suffering from Temporomandibular Disorder were treated by acupuncture, chiropractic therapy and exercise therapy. Acupuncture therapy was taken on Waiguan(TE5,外關), Zulingi(G41, 足臨泣), Sidu(TE9, 四瀆), Yanglingquan(G34, 陽陸泉), Qiuxu(G40, 丘墟), Xiaguan(S7, 下關). Chiropractic therapy was taken, when the subluxation of outpatients's Cervical spine was observed. Results : The syndrome of TMD, that is the Pain, the movement disorder and the click sound, was disappeared by 2~3 times acupuncture, chiropractic and exercise therapy.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제28권5호
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• pp.353-357
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• 2002

Pigmented villonodular synovitis(PVNS) usually presents as a benign proliferative monoarticular arthritis that affects the knee in 80% of cases, followed in frequency by the hip, ankle, and calcaneocuboid joint. PVNS rarely affects temporomandibular joint area. Patients typically complain of pain, locking, and recurrent swelling. Tumor progression limits the range of movement of the joint and causes it to become stiff and firm. Sometimes a palpable mass can be appreciated. Aggressive form of PVNS invades into adjacent bones and soft tissues, is confused with other types of neoplasia. Here we report 2 cases of the PVNS on a temporomadibular

• 치과방사선
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• 제9권1호
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• pp.13-18
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• 1979

The purpose of this study was to investigate the radiographic images of Temporomandibular joint trouble patients. This study included 186 patients with the chief complaints of TMJ pain and dysfunction. Their age ranged from 17 to 68 years. All patients were identified in the department of Dental mary of College of Dentistry, Seoul National University, Apr. 1978 to Jun. 1979. The author has observed the radiographic variations of two positions of condylar head taken by modified transcranial oblique-lateral projection, which are one in centric occlusion and the other in 1 inch(2.54㎝) mouth open. The results were obtained as follows; 1. In centric occlusion, the distances and positional relationship between the summit of condylar head and the deepest point of articular fossa revealed more or less large variations; Normal range is of 37.9%, anterior displacement of 37.3% and posterior displacement of 22.6%. 2. In the horizontal movement of condylar heads when on 1 inch mouth open, it was revealed that normalrange was of 46.5%, anterior displacement of 12.3%, posterior displacement of 41. 1 %. 3. In the positional interrelationship of both condylar heads when on 1 inch mouth open, it was revealed that symmetry(71. 5%) occurred approximately 2.5 times as many as asymmetry. 4. In both centric occlusion and 1 inch mouth open, it was showed that almost all estimated figures were greater in male than in female, and in the horizontal movement of condylar head when on 1 inch open, it was showed that hypermobility was dominant in male and hypomobility in female.

• Journal of Acupuncture Research
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• 제33권4호
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• pp.149-163
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• 2016

Objectives : The purpose of this study is to determine the effect of Functional Cerebrospinal Therapy(FCST) on patients from traffic accidents with Temporomandibular Joint Disorder. Methods : We reviewed the medical records of 33 patients who were treated for injuries stemming from traffic accidents at the Dong-Eui University Korean Medicine Hospital from December 29th, 2015 to August 29th, 2016. The patients were divided into 2 groups: Group A(n = 15) and Group B(n = 18). In Group A, patients received Korean medical treatments with FCST using an Accurate Balancing Appliance(ABA) - a standard intra-oral appliance. In Group B, patients received Korean medical treatments without FCST. To estimate the efficacy of the treatments in decreasing pain, we analyzed the Visual Analogue Scale(VAS), Neck Disability Index(NDI) and Oswestry Disability Index(ODI). Results : In Group A, VAS of headache(VAS H), VAS of neck & nuchal pain(VAS N), VAS of shoulder pain(VAS S), and VAS of low back pain(VAS L) were significantly improved during each period. In Group B, VAS H was significantly improved during each period, except the period from the first visit to two weeks later. VAS N, S, L were significantly improved during each period, except the period from the first visit to one week later. The total VAS improvement during each period in Group A was significantly higher than Group B. In both groups, NDI and ODI were improved significantly during each period. The improvement of NDI and ODI during each period in Group A was significantly higher than Group B. Conclusion : According to the results, FCST using ABA may be an effective treatment for patients from traffic accidents.

• 한국콘텐츠학회논문지
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• 제9권7호
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• pp.218-224
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• 2009

이 연구는 악안면외상경험과 측두하악장애 유병상태와의 관련성을 조사하여 측두하악장애의 예방과 치료계획에 도움을 주고자 울산광역시에 소재한 C보건대학 학생 370명을 대상으로 설문조사를 실시하였다. 수집된 자료는 SPSS 프로그램을 이용하여 분석하여 다음과 같은 결론을 얻었다. 1. 측두하악관절잡음 유병률은 남학생 25.7%, 여학생 22.7%로 남학생이 측두관절잡음 발생이 높았으나(p<0.01), 학년별로는 유의한 차이를 보이지 않았다. 2. 측두하악동통 유병률은 여학생이 높게 나타났다. 3. 개구장애 유병률은 여학생 10.8%, 남학생 7.0%로 여학생이 개구장애 발생이 약간 높게 나타났다. 4 측두하악장애로 인한 치료 경험은 남학생 6.5%, 여학생 4.3%로 남학생이 측두하악장애 치료경험률이 높게 나타났다(p<0.05). 5. 악 안연외상 경험률은 남학생이 높게 나타났으며(p<0.01), 악안면외상 경험 경로 중 넘어짐이 가장 많았으며, 운동, 기타 순으로 나타났다. 6. 악안면 외상과 측두하악장애와의 관련성은 악악면외상과 측두하악관절잡 음 간에 통계적으로 유의한 관련성을 보였다(p<0.01). 이상의 결과 악안면외상 경험유무와 측두하악장애 간에는 관련성이 존재하며 악안면외상을 측두하악장애 발생의 기여요인으로 볼 수 있겠다. 따라서 향후 측두하악장애를 일으키는 요인이 무엇인지 그 관련요인에 대한 추가연구가 필요하다고 사료된다.

• Journal of Oral Medicine and Pain
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• 제37권1호
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• pp.33-45
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• 2012

2007년부터 2011년까지 부산대학교 병원 구강내과를 내원한 측두하악장애 환자 중 임상 검사 및 방사선 검사, cone beam computed tomography(CBCT) 영상 촬영 결과 측두하악장애 골관절염으로 진단된 환자 114명 228개의 관절을 대상으로, 치료 후 6~35.5개월(평균 10개월)후 CBCT를 재촬영하고, 임상 검사를 실시하였다. 구강내과 전문의와 구강악안면방사선과 전문의가 영상 진단을 하였고, 임상 검사 결과와 CBCT의 영상 결과를 추적 연구 비교하여 다음과 같은 결과를 얻었다. 1. 측두하악관절 관절염의 골변화 양상은 다음과 같다. 1) 관절염의 골변화 진행 양상은 대부분 초기 상태를 유지하였다. 2) 침식은 침식, 편평화, 정상 관절, 골경화, 골증식체 순으로 골변화 진행 양상이 나타났다. 3) 편평화는 편평화, 골증식체, 정상 관절 및 골경화 순으로 진행 양상이 나타났다. 4) 골증식체는 골증식체, 침식, 골경화, 편평화 순으로 진행 양상이 나타났다. 5) 골경화는 골경화, 골증식체, 침식, 정상 관절 순으로 진행 양상이 나타났다. 2. 골변화에 따른 임상 증상의 변화는 다음과 같다. 1) 침식은 침식으로 유지된 경우 통증, 관절음, 개구제한, 최대 편이 개구량 모두 증상 개선이 있었고, 편평화로 이행된 경우 통증, 개구제한, 최대 편이 개구량에서, 정상 관절면으로 이행된 경우 통증, 관절음, 개구제한에서 증상 개선이 있었다. 침식에서 침식으로 유지된 경우 보다 침식에서 편평화로 이행된 경우 최대 편이 개구량에 있어 개선 효과가 높았다. 2) 편평화는 편평화로 유지된 경우 통증, 관절음, 개구제한에서 증상 개선을 보여 주었고, 편평화가 골경화로 이행된 경우, 개구제한에 있어 유의성있는 증상 개선을 보여주었다. 3) 골증식체가 골증식체로 유지된 경우 통증, 개구제한, 최대 편이 개구량에서 증상 개선 효과가 있었다.

• 대한치과교정학회지
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• 제30권2호
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• pp.223-233
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• 2000

본 연구는 측두하악장애가 지속적으로 증가하는 시기인 고교생을 대상으로 측두하악장애의 유병율을 조사함으로서 교정치료시 잠재되어 있을지도 모르는 측두하악장애 환자에 대한 인식을 고취시키고자 시행하였다. 이를 위해 경기도 용인시에 위치한 2개의 고등학교를 임의로 선택하고 만16세, 17세 및 18세의 고등학생을 무작위로 추출한 2,098명 (남자 507명, 여자 1,591명) 을 대상으로 측두하악장애의 주관적 증상과 이상기능에 관한 설문조사를 시행하여 다음과 같은 결론을 얻었다. 1. 측두하악장애의 주관적 증상에 대한 전체의 유병율은 $80.9\%$로 나타났고, 그 중 남자가 $77.3\%$, 여자가 $82.0\%$로 남녀간 유의한 차이를 보였다 (P<0.05). 2. 측두하악장애의 주관적 증상에 대한 연령에 따른 유병율은 15세에 $75.7\%$, 17세에 $83.2\%$ 및 18세에 $83.4\%$로 증가하는 경향을 보였고, 통계학적으로 유의한 차이를 보였다 (P<0.001). 3. 측두하악장애의 주관적 증상중 가장 빈도가 높은 증상은 저작시동통 ($65.9\%$) 이었고, 관절잡음 ($50.7\%$), 개구시동통($41.8\%$) 및 악관절 동통 ($36.8\%$) 순이었다. 4. 구강내 이상기능인 이악물기 (r=0.166) 와 이갈이 (r=0.057)는 측두하악장애의 주관적 증상과 통계학적으로 상관관계가 거의 없었다.