지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한악안면성형재건외과학회 Maxillofacial Plastic Reconstructive Surgery Maxillofacial Plastic Reconstructive Surgery 제43권
- 발행연도
- 2021.12
- 수록면
- 1 - 9 (9page)
- DOI
- 10.1186/s40902-021-00317-3
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초록· 키워드
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Objective: Treatment of temporomandibular disc displacement with reduction is controversial. This study assessesthe use of an anterior positioning splint with botulinum toxin in the lateral pterygoid muscle (BTX) for such cases.
Methods: Twelve joints were included; groups I and II received BTX injection while group II also received ananterior positioning splint. Pain scores and clicking status were recorded at regular intervals then a postoperativeMRI was done after 4 months.
Results: Clinical improvement was noted in both groups. Mean pain scores dropped significantly and clicks in thetwelve joints disappeared in 83% of group I and 33% of group II. MRIs showed significant disc positionimprovement with the higher mean change (1.33 ± 0.76) in group I.
Group I showed better improvement of discal position and only one joint regained a click. Patients of group IIreported discomfort from the splint which may have caused psychological distress and so worst pain scores.
Conclusions: Group I showed slightly better results but the cost of BTX injections and the complications of thesplint should be kept in mind and the decision of treatment selection made according to each condition.
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