악관절 내장증의 증상중 연관통의 악관절 수술 후 변화
Changes of Referred symptoms following surgical treatment in patients diagnosed astmj internal derangement
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윤현중
박광호/김기영/김형곤/허종기/남광현
KMID : 0386219980100010032
Abstract
Purpose: The aim of this study was to investigate the improvement of referred symptoms ofTMJ internal derangement after open surgery ofTMJ.
Materials and Methods : The present study focused referred symptoms such as headache, neck pain, shoulder pain and evaluated the incidences and changes in their improvement at 1, 3, 6, 12 months after surgery in 118 patients who had TMJ internal derangement and received meniscoplasty(or meniscorrhaphy) and eminectomy at TMJ clinic of Yonsei University Yongdong Severance Hospital between 1992 and 1997.
Results: One hundred eighteen patients(102 females, 16 males) with mean age of 29.6 years(range, 14 to 74) were included in this study and the mean follow-up period was 19.5 months(range, 12 to 60).
The incidences of headache, neck pain, shoulder pain among the surgically treated TMJ internal derangement patients were 66.9%, 28.8%, 28.0% before surgery. Thirty-two preoperative severe (+++) headache patients was all improved their headache at 1, 3, 6 months after surgery, but slight relapse(9.4%) was found at 12 months. The clearance rate of preoperative neck and shoulder pain were 91.2% and 90.9% at 1 month after surgery and all of these groups had no pain at 12 months after surgery.
Conclusions: Referred symptoms of TMJ internal derangement such as headache, neck pain, shoulder pain were dramatically improved after surgical treatment of TMJ.
키워드
TMJ internal derangement ; referred pain ; TMJ surgery
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