在口腔外科手术或牙科手术后,口腔神经系统的外周诱导运动障碍
1Department of Oral and Maxillofacial Surgery, National Hospital Organization, Kyoto Medical Center, 1-1 Mukaihata-cho, Fukakusa, Fushimi-ku, Kyoto, 612-8555, Japan. yoshida.kazuya.ut@mail.hosp.go.jp.
Oral and maxillofacial surgery
|July 31, 2024
概括
周围诱导运动障碍 (PIMD) 可能发生在牙科或口腔手术后. 即使是微小的牙科手术改变也可能在易受影响的个体中引发PIMD,需要牙科专业人员的意识.
科学领域:
- 神经学 神经学
- 口腔和牙面部外科手术
- 牙科 牙科是指牙科的专业.
背景情况:
- 周围诱导运动障碍 (PIMD) 是与身体损伤相关的高动力运动障碍.
- 这些障碍可以在牙科或口腔外科干预后在口腔系统中表现.
研究的目的:
- 识别和描述牙科或口腔外科手术后在口腔系统中发生的PIMD.
- 在这种情况下,了解PIMD的类型和触发因素.
主要方法:
- 对229名被诊断患有PIMD的患者进行了回顾性评估.
- 患者经历了由口腔手术或牙科干预引发的PIMD.
主要成果:
- 从手术到PIMD发病的平均延迟时间为14.3天.
- 口腔手术 (40.2%) 是最常见的触发因素,其次是一般牙科治疗 (36.7%).
- 口类 dystonia (73.8%) 是最常见的 PIMD 类型.
结论:
- 牙科手术后的轻微解剖或生理变化可以在易患病的患者中导致PIMD.
- 牙科专业人员必须认识到PIMD发展的潜力,并确保适当的患者管理或专家转诊.
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