顎関節クローズド・ロック症例に対する関節鏡視検査に続いて施行する関節洗浄療法の術式ならびにその治療効果について Arthrocentesis following arthroscopic examination in patients with closed lock of the temporomandibular joint

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著者

    • 由良 晋也 YURA Shinya
    • 北海道大学大学院歯学研究科口腔病態学講座・口腔顎顔面外科学 Oral and Maxillofacial Surgery, Department of Oral Pathobiological Science, Graduate School of Dental Medicine, Hokkaido University
    • 戸塚 靖則 TOTSUKA Yasunori
    • 北海道大学大学院歯学研究科口腔病態学講座・口腔顎顔面外科学 Oral and Maxillofacial Surgery, Department of Oral Pathobiological Science, Graduate School of Dental Medicine, Hokkaido University
    • 大井 一浩 OOI Kazuhiro
    • 北海道大学大学院歯学研究科口腔病態学講座・口腔顎顔面外科学 Oral and Maxillofacial Surgery, Department of Oral Pathobiological Science, Graduate School of Dental Medicine, Hokkaido University
    • 馬渕 亜希子 MABUCHI Akiko
    • 北海道大学大学院歯学研究科口腔病態学講座・口腔顎顔面外科学 Oral and Maxillofacial Surgery, Department of Oral Pathobiological Science, Graduate School of Dental Medicine, Hokkaido University
    • 堀向 弘眞 HORIMUKAI Hiromasa
    • 北海道大学大学院歯学研究科口腔病態学講座・口腔顎顔面外科学 Oral and Maxillofacial Surgery, Department of Oral Pathobiological Science, Graduate School of Dental Medicine, Hokkaido University
    • 足利 雄一 ASHIKAGA Yuichi
    • 北海道大学大学院歯学研究科口腔病態学講座・口腔顎顔面外科学 Oral and Maxillofacial Surgery, Department of Oral Pathobiological Science, Graduate School of Dental Medicine, Hokkaido University
    • 出山 文子 DEYAMA Ayako
    • 北海道大学大学院歯学研究科口腔病態学講座・口腔顎顔面外科学 Oral and Maxillofacial Surgery, Department of Oral Pathobiological Science, Graduate School of Dental Medicine, Hokkaido University
    • 由川 哲也 YOSHIKAWA Tetsuya
    • 北海道大学大学院歯学研究科口腔病態学講座・口腔顎顔面外科学 Oral and Maxillofacial Surgery, Department of Oral Pathobiological Science, Graduate School of Dental Medicine, Hokkaido University
    • 大廣 洋一 OHIRO Yoichi
    • 北海道大学大学院歯学研究科口腔病態学講座・口腔顎顔面外科学 Oral and Maxillofacial Surgery, Department of Oral Pathobiological Science, Graduate School of Dental Medicine, Hokkaido University
    • 樋田 京子 HIDA Kyoko
    • 北海道大学大学院歯学研究科口腔病態学講座・口腔顎顔面外科学 Oral and Maxillofacial Surgery, Department of Oral Pathobiological Science, Graduate School of Dental Medicine, Hokkaido University

抄録

We describe procedures for arthrocentesis based on arthroscopic findings and report the therapeutic usefulness of these procedures in 46 patients with closed lock of the temporomandibular joint.<BR>Arthroscopic examination was done under local anesthesia in the outpatient clinic. An 18-gauge needle and a trocar for a 0.8-mm rod-lens fiberscope were inserted into the anterior and posterior compartments of the upper joint space, respectively. The anterior compartment was then observed with special respect to the presence of adhesion. In joints without adhesion, irrigation was done under low hydraulic pressure. In joints with adhesion, irrigation was performed under sufficient hydraulic pressure (maximum pressure exerted, 40 KPa) to widen the upper joint space. Manipulation was performed after irrigation.<BR>Eight weeks after these two procedures, the range of maximum mouth opening increased from 2 to 20 mm and averaged 10.3 mm in 18 patients without adhesion. In 28 patients with adhesion, the increase in maximum mouth opening ranged 3 to 25 mm and averaged 9.1 mm. There was no significant difference in the increase in maximum mouth opening between these two groups.

収録刊行物

  • 日本口腔外科学会雑誌

    日本口腔外科学会雑誌 49(4), 246-251, 2003-04-20

    Japanese Society of Oral and Maxillofacial Surgeons

参考文献:  25件中 1-25件 を表示

被引用文献:  5件中 1-5件 を表示

各種コード

  • NII論文ID(NAID)
    10012629018
  • NII書誌ID(NCID)
    AN00189163
  • 本文言語コード
    JPN
  • 資料種別
    ART
  • ISSN
    00215163
  • データ提供元
    CJP書誌  CJP引用  J-STAGE 
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