Efficacy of Autologous Blood Injection for Treatment of Chronic Recurrent Temporo-mandibular Joint Dislocation

Q4 Medicine

Egyptian Journal of Ear, Nose, Throat and Allied Sciences Pub Date : 2021-01-01 DOI:10.21608/ejentas.2021.56244.1300

Islam A. Amer, Pankaj kukereja, A. Gaber

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引用次数: 2

Abstract

Background: Many non-surgical and surgical procedures have been used to treat patients with chronic recurrent temporomandibular joint dislocation (CRTMJD). Autologous blood injection (ABI) represents a promising approach. Aim of the work: To evaluate the effectiveness and safety of ABI in the treatment of patients with CRTMJD. Patients and Methods: This prospective comparative study involved patients with CRTMJD who were treated by arthrocentesis and ABI with those treated with arthrocentesis alone between January 2017 and January 2020. Analysis of clinical presentation, diagnosis, close observation of patients has been carried out. Results: 140 patients were included in this study, 87 were males and 53 were females. Their ages ranged between 16 to 82 years. They were randomly divided into two groups of 70 each. Group-1 received arthrocentesis followed by ABI and Group-2 received arthrocentesis alone. In group-1, only one ABI was required and was successful in 63 patients and reinjection was required in 7 patients. None of the patients need surgery due to re-injection failure. Conclusion: Positive results on this modality were observed, some questions are still noted about the effect of blood injection on the articular cartilage and on the development of fibrous or bony ankylosis.

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自体血液注射治疗慢性复发性颞下颌关节脱位的疗效观察

背景:许多非手术和手术方法已被用于治疗慢性复发性颞下颌关节脱位(CRTMJD)患者。自体血液注射(ABI)是一种很有前途的方法。目的:评价ABI治疗CRTMJD患者的有效性和安全性。患者和方法:这项前瞻性比较研究纳入了2017年1月至2020年1月期间接受关节穿刺和ABI治疗的CRTMJD患者与单独接受关节穿刺治疗的患者。对患者的临床表现、诊断、密切观察进行了分析。结果:本研究纳入140例患者，其中男性87例，女性53例。他们的年龄在16岁到82岁之间。他们被随机分成两组，每组70人。组1先行关节穿刺后行ABI，组2单独行关节穿刺。在1组中，63例患者只需要一次ABI并成功，7例患者需要再注射。没有一例患者因再注射失败而需要手术。结论:该方法疗效显著，但对关节软骨及纤维性或骨性强直的影响尚存疑问。

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

Egyptian Journal of Ear, Nose, Throat and Allied Sciences Medicine-Otorhinolaryngology

CiteScore

0.20

自引率

0.00%

发文量

期刊介绍： Egyptian Journal of Ear, Nose, Throat and Allied Sciences aspires to play a national, regional and international role in the promotion of responsible and effective research in the field of Otolaryngology, Head and Neck Surgery in Egypt, Middle East and Africa. Mission To encourage and support research in Ear, Nose and Throat (ENT) field and interdisciplinary topics To implement high-quality editorial practices among Otolaryngologists To upgrade the ability and experience of local doctors in international publishing To offer professional publishing support to local researchers, creating a supportive network for career development To highlight ENT diseases and problems peculiar to our region To promote research in endemic, hereditary and infectious ENT problems related to our region To expose and study impact of ethnic, social, environmental and cultural issues on expression of different ENT diseases To organize common epidemiologic research of value to the region To provide resource to national and regional authorities about problems in the field of ENT and their implication on public health and resources To facilitate exchange of knowledge in our part of the world To expand activities with regional and international scientific societies.