整形外科手术对先前存在的部部疾病的影响
Adir Cohen1, Heli Rushinek1, Mati Cohen Sela1
1Department of Oral and Maxillofacial Surgery.
The Journal of craniofacial surgery
|February 23, 2024
概括
整形外科手术对有缺陷的患者的关节疾病 (TMD) 有积极的影响. 这项研究发现手术后TMD症状和指标得到改善,特别是在III类骨患者中.
科学领域:
- 口腔和牙面部外科手术
- 矯正牙科 矯正牙科是一種矯正牙科.
- 关节疾病 关节疾病
背景情况:
- 在整形外科手术患者中预先存在的关关疾病 (TMD) 的管理是有争议的.
- 对患有骨缺陷和TMD的患者进行分析对于手术规划至关重要.
研究的目的:
- 为了对患有先前存在的TMD的患者进行整形外科手术进行分析.
- 为了评估 ортогнатик手术与TMD指标和症状的变化之间的相关性.
主要方法:
- 对患有骨缺陷和诊断为TMD的患者进行了回顾性队列研究.
- 收集的数据是关于整形手术,TMD症状 (关节声音,疼痛,肌肉不适,锁定) 和视觉模拟尺度 (VAS) 疼痛评分.
- 对手术后TMD指标和症状变化的分析.
主要成果:
- 骨III类缺陷 (73.4%) 比II类 (26.6%) 更为普遍.
- 第三类患者的年龄较小 (平均年龄为23.06岁),而不是第二类患者 (平均年龄为26.71岁).
- 之前存在的TMD包括TMJ声音 (65.5%),TMJ疼痛 (39.1%),肌肉不适 (23.4%),锁 (12.5%). 第二类患者的TMJ声音 (88.2%) 比第三类患者 (57.4%) 更多.
- 在手术后的III类患者中,观察到显著的VAS改善.
- 整形手术与TMD指标和症状的积极变化相关.
结论:
- 大多数接受正骨科手术的TMD患者出现了III级骨缺陷.
- 整形手术似乎可以改善这个患者群体的TMD症状和指标.
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