Evaluation of the Efficacy of Auriculotemporal Nerve Block in Temporomandibular Disorders.

IF 1.9 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Oral & Facial Pain and Headache Pub Date : 2021-09-01 DOI:10.11607/ofph.2949

Mustafa Sami Demirsoy, Aras Erdil, Mehmet Kemal Tümer

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引用次数: 3

Abstract

Aims: To investigate the effectiveness of the auriculotemporal nerve block (ATNB) technique in conjunction with noninvasive therapies for the treatment of disc displacement with reduction (DDWR) or without reduction (DDWOR) in addition to arthralgia of the temporomandibular joint (TMJ).

Methods: The data of 22 patients diagnosed with DDWR and DDWOR whose clinical conditions did not improve despite noninvasive treatments were analyzed. ATNB was applied to each patient during the first visit and readministered at 1- and 4-week follow-up visits. Pain intensity values (0 to 10 visual analog scale [VAS] scores) were evaluated pre-ATNB and at the 6-month follow-up visit, and the maximal mouth opening values were measured pre-ATNB and at the 1-week, 4-week, and 6-month follow-up visits.

Results: Noninvasive therapies did not make a significant difference in the outcomes between the initial visit and first administration of ATNB (VAS P = .913, MMO P = .151). However, there were significant differences in outcomes between pre-ATNB and the 1-week (MMO P = .000), 4-week (MMO P = .000), and 6-month (VAS P = .027, MMO P = .000) follow-ups.

Conclusion: ATNB may be considered as a supportive treatment approach in noninvasive TMJ disorder therapies.

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耳颞神经阻滞治疗颞下颌紊乱的疗效评价。

目的:探讨耳颞神经阻滞(ATNB)技术联合无创治疗颞下颌关节(TMJ)关节痛伴椎间盘移位复位(DDWR)或不复位(DDWOR)的疗效。方法:对22例经无创治疗后无明显改善的DDWR和DDWOR患者的临床资料进行分析。每位患者在第一次访问时应用ATNB，并在1周和4周随访时重新给予。在atnb前和随访6个月时评估疼痛强度值(0 ~ 10视觉模拟量表[VAS]评分)，并在atnb前和随访1周、4周和6个月时测量最大开口值。结果:无创治疗在首次就诊和首次给药ATNB之间的结果无显著差异(VAS P = 0.913, MMO P = 0.151)。然而，atnb前与1周(MMO P = 0.000)、4周(MMO P = 0.000)和6个月(VAS P = 0.027, MMO P = 0.000)随访的结果存在显著差异。结论:ATNB可作为无创治疗颞下颌关节紊乱的一种辅助治疗方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Oral & Facial Pain and Headache DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

5.10

自引率

4.00%

发文量

期刊介绍： Founded upon sound scientific principles, this journal continues to make important contributions that strongly influence the work of dental and medical professionals involved in treating oral and facial pain, including temporomandibular disorders, and headache. In addition to providing timely scientific research and clinical articles, the journal presents diagnostic techniques and treatment therapies for oral and facial pain, headache, mandibular dysfunction, and occlusion and covers pharmacology, physical therapy, surgery, and other pain-management methods.