Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
권호 표지

CLINICAL STUDY OF ARTHROCENTESIS-CASES OF CLOSED LOCK

CLOSED LOCK증례에 대한 악관절 세정술의 임상적 연구

  • Hyun, Young-Ok (Department of Oral and Maxillofacial Surgey, Wallace Memorial Baptist Hospital) ;
  • Kang, Chang-Hee (Department of Oral and Maxillofacial Surgey, Wallace Memorial Baptist Hospital) ;
  • Noh, Yang-Ho (Department of Oral and Maxillofacial Surgey, Wallace Memorial Baptist Hospital) ;
  • Chun, Young-Doo (Department of Oral and Maxillofacial Surgey, Wallace Memorial Baptist Hospital) ;
  • Lee, Hee-Won (Department of Oral and Maxillofacial Surgey, Wallace Memorial Baptist Hospital)
  • 현영옥 (왈레스 기념 침례병원 치과 구강악안면외과) ;
  • 강창희 (왈레스 기념 침례병원 치과 구강악안면외과) ;
  • 노양호 (왈레스 기념 침례병원 치과 구강악안면외과) ;
  • 천영두 (왈레스 기념 침례병원 치과 구강악안면외과) ;
  • 이희원 (왈레스 기념 침례병원 치과 구강악안면외과)
  • Published : 2001.02.28
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Abstract

Purpose : To evaluate the efficacy of arthrocentesis for treatment of closed lock. Material : 42 patients were diagnosed to closed lock by physical, radiographic examriation and undergone arthrocentesis. All patients have a pain and mouth opening limitation on affected site. Method : Arthrocentesis was done under conscious sedation and local infiltration anesthesia, normal saline and some steroid was injected on upper compartment of tempormandibular joint. After pumping and lavage, manual reduction procedure of anterially displaced disc was done. All the patients wear an anterior repositioning splint just after arthrocentesis. The result of arthrocentesis was assessed by pain and difference of mouth opening. Result : Difference of mouth opening after arthrocentesis was improved to 18.85mm and pain was gradually decreased. All patients were worn stabilization type splint after mean 1.84 months. 6 patients had relapse of mouth opening limitation so done arthrocentesis again and delivered good results.

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