顎関節脱臼251例の臨床的観察－口腔外科と救命救急科との比較－

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  • Clinical study of 251 cases of temporomandibular joint dislocation －A comparison between the Department of Oral and Maxillofacial Surgery and the Emergency Department－
  • ガク カンセツ ダッキュウ 251レイ ノ リンショウテキ カンサツ : コウコウ ゲカ ト キュウメイ キュウキュウカ ト ノ ヒカク

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We studied clinically 251 cases of temporomandibular joint dislocation treated at the Department of Oral and Maxillofacial Surgery or the Emergency Department of Kanazawa Medical University during the past 18 years from May 1995 to April 2013 to investigate the actual status and trends of temporomandibular joint dislocation. The following results were obtained:<br>1 . The patients consisted of 92 males and 159 females.<br>2 . The age ranged from 2 to 103 years. Fifty patients (19.9%) were in their 80s.<br>3 . Temporomandibular joint dislocation occurred on both sides in 158 cases (62.9%), only on the right side in 48 cases (19.1%), and only on the left side in 45 cases (17.9%).<br>4 . Habitual dislocation of the temporomandibular joint occurred in 166 cases (66.1%).<br>5 . 54 patients (28.4%) directly visited our department. Among patients presenting to the Emergency Department, 25 patients (29.1%) were referred to our department.<br>6 . In our department, general complications were found in 124 cases (65.3%), and they were mostly associated with cardiovascular, neuropsychiatric, and cerebrovascular disease.<br>7 . In our department, the treatment methods were only non-invasive reduction in 125 cases (65.8%) and invasive reduction in 65 cases (34.2%).

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