PROSPECTIVE RANDOMIZED STUDY BETWEEN ARTHROCENTESIS AND OPERATIVE ARTHROSCOPY IN THE MANAGEMENT OF TEMPOROMANDIBULAR JOINT INTERNAL DERANGEMENT
PROSPECTIVE RANDOMIZED STUDY BETWEEN ARTHROCENTESIS AND OPERATIVE ARTHROSCOPY IN THE MANAGEMENT OF TEMPOROMANDIBULAR JOINT INTERNAL DERANGEMENT
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DOI：
10.21608/adjalexu.2020.25155.1051
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发表时间：
2020-12
期刊：
影响因子：
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通讯作者：
A. Atteya;M. Warda;M. Fata;A. Medra;F. M. Gil
中科院分区：
文献类型：
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作者：
A. Atteya;M. Warda;M. Fata;A. Medra;F. M. Gil
前言：颞下颌关节紊乱病(TMD)是一种常见疾病，其中以内紊乱最为常见。人们提出了不同的治疗方法，从保守的方法开始，以手术结束。如今，关节穿刺术和关节镜检查已经减少了对更复杂的外科手术的需要。尽管取得了这样的进展，但在支持这两种方法的前瞻性、随机性、临床研究方面，文献中仍存在不足。在进行必要的研究和比较结果时，为患者选择和治疗选择制定一个标准化的标准是至关重要的，所有的研究人员都可以使用。目的：比较关节穿刺术和关节镜手术治疗II、III期颞颌关节内错乱的疗效。材料和方法：对40例颞下颌关节内紊乱患者进行前瞻性研究，分为关节穿刺组和手术组各20例。结果：关节镜术后疼痛评分明显低于手术前。关节镜术中张口度明显高于手术前。结论：关节镜手术在术后疼痛和张口度方面优于关节穿刺术。
Introduction: Temporomandibular disorders (TMDs) are common conditions and internal derangement is the most common among them. Different methods have been suggested for treatment , beginning with conservative approaches ending with surgery. Nowadays, arthrocentesis and arthroscopy have decreased the need of the more complex surgical procedures. Despite such advancements, there is deficiency in the literature regarding prospective, randomized, clinical studies supporting either both of them. In doing the necessary studies, and comparing the results, it will be essential to develop a standardized criteria for patient selection and treatment options that can be used by all investigators. Objectives: To compare between arthrocentesis and operative arthroscopy in the management of patients with internal derangement of temporomandibular joint stage II and III Wilkes. Materials and Methods: a prospective study was done on 40 patients with temporomandibular joint internal derangement and were divided into 2 groups, 20 patients were treated with arthrocentesis and 20 patients were treated with operative arthroscopy. Results: The pain score was significantly lower in operative arthroscopy. The mouth opening was significantly higher in the operative arthroscopy. Conclusions: Operative arthroscopy is better than arthrocentesis as regards the postoperative pain and mouth opening.