악관절증환자에 있어서의 활액세척술의 이용
ARTHROCENTHESIS FOR TEMPOROMANDIBULAR JOINT DISODER
소속 상세정보
유준영/Jun-young you
KMID : 0355619980240030276
Abstract
Ⅴ.결 론
본 저자는 외래에서 손쉽게 시행할 수 있는 활액세척술을 이용하여 폐구성과두걸림 환자
의 치료에 적용하여 1차, 2차. 3차 활액세척술을 시행한 결과 활액세척술의 성공율은 39관절
중 29관절로 74.4%의 증상개선 효과가 있었다. 급성으로 발생한 폐구성과두걸림, 오래 지속
된 개구제한환자, 동통을 동반하고 관절강이 좁아져 관절유착(Adhesion)이 있는 환자 등에
서 활액세척술은 효과적이라고 생각되어진다. 이에 활액세척술은 외래에서 손쉽게 사용할
수 있으며 그 적응증을 잘 선택하여 시술 할 경우 높은 성공율을 보이고 있어 이 술식의 활
용이 바람직하다고 생각된다.
#초록#
Facial and head pains are common symptoms and etiology is recognized in majority of
cases, However, in some instances, the complex anatomy and emotional overlay make
diagnosis difficult. The key components of any differential diagnosis are thorough
knowedge of the anatomy, including the neuologic and vascular distributions, and
adetailed history, Closed locking of the TMJ has been ascribed to internal derangment
secondary to anteromedial disk displacement without reduction. Although the true
etiologic fator of disk displacement and the process of the devolopment of internal
derangment have notbeen clarified, many clinical, surgical arthrographic, and arthroscopic
studies support this concept of the cause. A condition of sudden, severe, and sudden,
severe, and persistant limited mouth opening, which readily responds to arthrocentesis, is
postulated to a vacuum between disc and fossa in the upper compartment of
temporomandibular joint. This simple treatment was found to be highiy effective in
restablishing normal opening and relieving pain. Thirty-four patients(39 joints) who had
sudden-onset. persistent limited mouth opening were of this study. These patients who
complained TMD was treated by this arthrocenthesis limited mouth opening were
subjects of this study. These patients who complained TMD was treated by this
arthrocenthesis. The overall improvement, as expressed in pain and dysfunction level
was 74.4%, with no recurrence of severe closed lock. So the authour thinks that this
arthocenthesis is simple, effective and predictable procedure.
키워드
closed ocking; arthrocenthesis;
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