The Worth of Sound Recording as Evaluation Criteria of Response to Surgery in Non-Reduced Anterior Disc Dislocation
Küçük Resim Yok
Tarih
2014
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
LIPPINCOTT WILLIAMS & WILKINS
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Aim: The objective of the present study was to examine whether joint sounds are objective criteria for evaluating the success of surgery for non-reduced anterior disc dislocation. Method: Twenty-seven patients (age, 35.6 +/- 10.6 years; female/male, 22:5) with non-reduced disc dislocation, as confirmed by MRI, were included in the study. Temporomandibular joint (TMJ) sounds were assessed and digitized by custom-made device. As a surgical treatment, all patients underwent "disc plication technique". The success of surgery was evaluated with maximal interincisial opening (MIO), pain, patient satisfaction scores, MRI examination, and TMJ sound intensity. Recording of sounds of TMJ and pain and satisfaction scores were repeated again at postoperative 12 months and compared to preoperative results. Results: Mean preoperative sound intensities with jaw opening and closing and left-right movement were 79.37 +/- 3.52 dB and 81.0 +/- 4.99 dB, respectively. Mean postoperative sound intensity with jaw opening and closing was 64.81 +/- 4.54 dB whereas that with left-right movement was 65.6 +/- 5.38 dB. Examination of preoperative and postoperative sounds showed that decreased volume level related with clinical improvement and postoperative replaced disc image in MRI. MIO values increased from 25.89 +/- 1.76 mm to 34.26 +/- 1.403 mm. Postoperative pain scores were lower than pre-operative period and patient satisfaction improved markedly. Conclusion: The results of this study showed that patients who underwent plication for non-reduced disc dislocation had clinical improvement, which was related with the decreasing volume level of the click sound, reducing the pain, improving satisfaction, and replacing the disc to normal position in MRI.
Açıklama
Anahtar Kelimeler
Temporomandibular joint sound, disc plication, anterior disc dislocation, temporomandibular disorder
Kaynak
JOURNAL OF CRANIOFACIAL SURGERY
WoS Q Değeri
Q4
Scopus Q Değeri
Q2
Cilt
25
Sayı
5
