上顎関節腔内に癒着を伴うクローズドロック患者における関節洗浄・強制開口療法の効果 Effect of enforced manipulation technique on arthrocentesis in closed lock with adhesion in the upper joint space of the temporomandibular joint
To investigate the effect of enforced manipulation technique on arthrocentesis in patient with intracapsular adhesion of the temporomandibular joint, the clinica effectiveness of the procedure was compared on the basis of arthoscopic findings between an enforced manipulation group and a matched-pair contro group. Ten patients who underwent sufficient enforced manipulation during arthrocentesis comprised the enforced manipulationtion group, and 10 patients without manipulation comprised the control group.<BR>One month after the procedure, the range of maximum mouth opening increased by 3 to 15 mm (mean 9.0 mm) in the enforced manipulation group, as compared with 1 to 8 mm (mean 5.3 mm) in the control group. This difference was significant. Our results indicate that the enforced manipulation technique on arthrocentesis contributes to an increased range of mouth opening in patients with intracapsular adhesion of the temporomandibular joint.
日本口腔外科学会雑誌 52(11), 582-587, 2006-11-20
Japanese Society of Oral and Maxillofacial Surgeons