Prevalence of Temporomandibular Disorder Symptoms among Orthognathic Patients in Southern Germany: Retrospective Study
Prevalence of Temporomandibular Disorder Symptoms among Orthognathic Patients in Southern Germany: Retrospective Study
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德国南部正颌患者颞下颌关节紊乱症状的患病率：回顾性研究
DOI：
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发表时间：
2018
影响因子：
2.1
通讯作者：
W. Kretschmer
中科院分区：
文献类型：
--
作者：
Amjad M AlWarawreh;Zaid Altamimi;Hazem Khraisat;W. Kretschmer
本研究调查了正颌外科手术前后颞下颌关节紊乱病（TMD）的患病率，并评估了正颌外科手术对每种TMD症状（弹响、疼痛、捻发音和MRI结果）的影响。对100例接受双颌手术矫正颅面畸形的连续患者（31例男性和69例女性）进行了采访，并检查了TMD的体征和症状，患者年龄在17岁至58岁之间（平均年龄：27.7 ± 9.3岁）。在手术时和术后1年进行颞下颌关节的临床检查、X线和磁共振成像。术前和术后TMD的患病率分别为35%和27%。有TMD症状的患者缓解频率较高（74.3%; 19例（70.3%）患者的咔嗒声减少，7例（87.5%）例患者疼痛减轻，4例（100%）患者捻发音减轻，4例（57.1%的患者MRI表现出变化），12例术前无症状的患者术后出现TMJ弹响，3例出现疼痛，3例出现捻发音。TMD问题可能发生在各种各样的患者中，包括那些有面部畸形的患者，并需要正颌外科手术。然而，正颌外科手术可能无法治疗或减轻TMD的症状。
This study investigated the prevalence of temporomandibular disorder (TMD) among patients before and after orthognathic surgery and assessed the effect of orthognathic surgery on each of the TMD symptoms (clicking, pain, crepitus, and MRI findings). A sample of 100 consecutive patients undergoing bimaxillary surgery for correction of craniofacial deformities (31 male and 69 female), with ages ranging between 17 and 58 years (mean age: 27.7 ± 9.3 years), were interviewed and examined regarding signs and symptoms of TMD. Clinical examination and X-ray and magnetic resonance imaging of the temporomandibular junction were performed at the time of surgery and 1 year thereafter. The prevalence of TMD preoperatively and postoperatively was 35% and 27%, respectively. A high frequency of relief was found in the patients with TMD symptoms (74.3%; 19 (70.3%) of patients had reduced clicking, 7 (87.5%) patients had reduced pain, 4 (100%) patients had reduced crepitus, and 4 (57.1%) patients showed changes in MRI findings), 12 patients who were asymptomatic before surgery developed clicking in TMJ after surgery, 3 developed pain, and 3 developed crepitus. TMD problems can occur in a variety of patients, including those who have facial deformities, and require orthognathic surgery. However, orthognathic surgery may not predictably treat or reduce the symptoms of TMD.
正颌手术的并发症：钢丝固定与刚性内固定的比较。
DOI：
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发表时间：
1989
期刊：
The International journal of adult orthodontics and orthognathic surgery
影响因子：
--
作者：
Buckley,MJ;Tulloch,JF;WhiteJr,RP;Tucker,MR
通讯作者：
Tucker,MR