Maxillofacial Plastic and Reconstructive Surgery最新文献

筛选
英文 中文
Prevalence of complications associated with polymer-based alloplastic materials in nasal dorsal augmentation: a systematic review and meta-analysis. 鼻背隆鼻术中聚合物类异体材料相关并发症的发生率:系统回顾和荟萃分析。
IF 2
Maxillofacial Plastic and Reconstructive Surgery Pub Date : 2022-04-22 DOI: 10.1186/s40902-022-00344-8
Seied Omid Keyhan, Shaqayeq Ramezanzade, Reza Golvardi Yazdi, Mohammad Amin Valipour, Hamid Reza Fallahi, Madjid Shakiba, Mahsa Aeinehvand
{"title":"Prevalence of complications associated with polymer-based alloplastic materials in nasal dorsal augmentation: a systematic review and meta-analysis.","authors":"Seied Omid Keyhan, Shaqayeq Ramezanzade, Reza Golvardi Yazdi, Mohammad Amin Valipour, Hamid Reza Fallahi, Madjid Shakiba, Mahsa Aeinehvand","doi":"10.1186/s40902-022-00344-8","DOIUrl":"10.1186/s40902-022-00344-8","url":null,"abstract":"<p><strong>Background: </strong>Various techniques with different grafts and implants have been proposed to establish a smooth and symmetric nasal dorsum with adequate function. Broadly, two categories of materials have been used in this regard: alloplastic implant materials and autograft materials. The aim of these meta-analyses is to explore the incidence of complications after dorsum augmentation surgery using alloplastic materials.</p><p><strong>Materials and methods: </strong>After duplication removal 491 papers remained that title and abstract were assessed for eligibility. Regarding the study type, 27 observational studies were included, 21 retrospective and 6 prospective case series. A total of 3803 cases were enrolled in this systematic review and meta-analysis.</p><p><strong>Result: </strong>Twenty-seven articles reported on complications and outcomes of dorsal augmentation rhinoplasty with synthetic materials. In a random-effects model, the weighted mean percentage was 2.75% (95% CI 1.61 to 4.17%). the weighted mean percentage were 1.91% (95% CI 0.77 to 3.54%), 0.72% (95% CI 0.316 to 1.31%), and 0.78% (95% CI 0.43 to 1.24%) respectively.</p><p><strong>Conclusion: </strong>The widely used alloplasts were expanded polytetrafluoroethylene (ePTFE), high-density polyethylene, and silicone. The total rates for complications, infection, deviation, irregularity, hematoma, extrusion, and overcorrection were 2.75%, 1.91%, 0.72%, 0.70%, 0.78%, and 0.49%, respectively. The revision rate, based on the random effects model, was 6.40% with 95%CI (3.84 to 9.57).</p><p><strong>Trial registration: </strong>This meta-analysis was registered at the International Prospective Register of Systematic Reviews (PROSPERO, registration number CRD42020209644 ).</p>","PeriodicalId":18357,"journal":{"name":"Maxillofacial Plastic and Reconstructive Surgery","volume":"44 1","pages":"17"},"PeriodicalIF":2.0,"publicationDate":"2022-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9033909/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65769364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The effect of FK506 (tacrolimus) loaded with collagen membrane and fibrin glue on promotion of nerve regeneration in a rat sciatic nerve traction injury model FK506(他克莫司)载胶原膜和纤维蛋白胶对大鼠坐骨神经牵拉损伤模型神经再生的影响
IF 2.3
Maxillofacial Plastic and Reconstructive Surgery Pub Date : 2022-04-06 DOI: 10.1186/s40902-022-00339-5
Jinhong Kim, Young-Jin Choi, Hannara Park, K. Ahn
{"title":"The effect of FK506 (tacrolimus) loaded with collagen membrane and fibrin glue on promotion of nerve regeneration in a rat sciatic nerve traction injury model","authors":"Jinhong Kim, Young-Jin Choi, Hannara Park, K. Ahn","doi":"10.1186/s40902-022-00339-5","DOIUrl":"https://doi.org/10.1186/s40902-022-00339-5","url":null,"abstract":"","PeriodicalId":18357,"journal":{"name":"Maxillofacial Plastic and Reconstructive Surgery","volume":"44 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2022-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65769280","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Clinical investigation of patients with jaw deformity with comorbidities 颌骨畸形伴合并症的临床研究
IF 2.3
Maxillofacial Plastic and Reconstructive Surgery Pub Date : 2022-04-06 DOI: 10.1186/s40902-022-00345-7
Kiyohiro Kasahara, T. Hoshino, K. Sugiura, Yukihiro Tanimoto, Masahide Koyachi, M. Yamamoto, K. Sugahara, M. Takano, A. Katakura
{"title":"Clinical investigation of patients with jaw deformity with comorbidities","authors":"Kiyohiro Kasahara, T. Hoshino, K. Sugiura, Yukihiro Tanimoto, Masahide Koyachi, M. Yamamoto, K. Sugahara, M. Takano, A. Katakura","doi":"10.1186/s40902-022-00345-7","DOIUrl":"https://doi.org/10.1186/s40902-022-00345-7","url":null,"abstract":"","PeriodicalId":18357,"journal":{"name":"Maxillofacial Plastic and Reconstructive Surgery","volume":"44 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2022-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65769463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluation of postoperative changes in condylar positions after orthognathic surgery using balanced orthognathic surgery system 应用平衡正颌手术系统评价正颌手术后髁突位置的变化
IF 2.3
Maxillofacial Plastic and Reconstructive Surgery Pub Date : 2022-03-17 DOI: 10.1186/s40902-022-00341-x
Yong-chan Lee, Hong-Bum Sohn, Young-Wook Park, Ji-hyeon Oh
{"title":"Evaluation of postoperative changes in condylar positions after orthognathic surgery using balanced orthognathic surgery system","authors":"Yong-chan Lee, Hong-Bum Sohn, Young-Wook Park, Ji-hyeon Oh","doi":"10.1186/s40902-022-00341-x","DOIUrl":"https://doi.org/10.1186/s40902-022-00341-x","url":null,"abstract":"","PeriodicalId":18357,"journal":{"name":"Maxillofacial Plastic and Reconstructive Surgery","volume":"44 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2022-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65769341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Comparison of prognosis in two methods for the lingual nerve repair: direct suture with vein graft cuff and collagen allograft method 两种舌神经修复方法的预后比较:静脉套直接缝合法和同种异体胶原移植法
IF 2.3
Maxillofacial Plastic and Reconstructive Surgery Pub Date : 2022-03-01 DOI: 10.1186/s40902-022-00335-9
S. Fujita, I. Tojyo, T. Nakanishi, S. Suzuki
{"title":"Comparison of prognosis in two methods for the lingual nerve repair: direct suture with vein graft cuff and collagen allograft method","authors":"S. Fujita, I. Tojyo, T. Nakanishi, S. Suzuki","doi":"10.1186/s40902-022-00335-9","DOIUrl":"https://doi.org/10.1186/s40902-022-00335-9","url":null,"abstract":"","PeriodicalId":18357,"journal":{"name":"Maxillofacial Plastic and Reconstructive Surgery","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48347889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Efficacy and safety of rhBMP/β-TCP in alveolar ridge preservation: a multicenter, randomized, open-label, comparative, investigator-blinded clinical trial. rhBMP/β-TCP在牙槽嵴保存中的有效性和安全性:一项多中心、随机、开放标签、比较、研究者盲法临床试验
IF 2.3
Maxillofacial Plastic and Reconstructive Surgery Pub Date : 2021-12-20 DOI: 10.1186/s40902-021-00328-0
Jeong Joon Han, Ah Ryum Chang, Jaemyung Ahn, Seunggon Jung, Jongrak Hong, Hee-Kyun Oh, Soon Jung Hwang
{"title":"Efficacy and safety of rhBMP/β-TCP in alveolar ridge preservation: a multicenter, randomized, open-label, comparative, investigator-blinded clinical trial.","authors":"Jeong Joon Han,&nbsp;Ah Ryum Chang,&nbsp;Jaemyung Ahn,&nbsp;Seunggon Jung,&nbsp;Jongrak Hong,&nbsp;Hee-Kyun Oh,&nbsp;Soon Jung Hwang","doi":"10.1186/s40902-021-00328-0","DOIUrl":"https://doi.org/10.1186/s40902-021-00328-0","url":null,"abstract":"<p><strong>Background: </strong>The aim of this multicenter, randomized, open-label, comparative, investigator-blinded study was to investigate the efficacy and safety of recombinant human bone morphogenetic protein 2 (rhBMP-2) combined with β-TCP (rhBMP-2/β-TCP) in alveolar ridge preservation.</p><p><strong>Materials and methods: </strong>Eighty-four subjects from three centers were enrolled in this clinical trial. After tooth extraction, rhBMP-2/β-TCP (n = 41, test group) or β-TCP (n = 43, control group) were grafted to the extraction socket with an absorbable barrier membrane for alveolar ridge preservation. Using computed tomography images obtained immediately after and 12 weeks after surgery, changes in the alveolar bone height and width were analyzed for each group and compared between the two groups.</p><p><strong>Results: </strong>Both the test and control groups showed a significant decrease in alveolar bone height in the 12 weeks after surgery (both groups, p < 0.0001). However, the test group exhibited a significantly lower decrease in alveolar bone height than the control group (p = 0.0004). Alveolar bone width also showed significantly less resorption in the test group than in the control group for all extraction socket levels (ESL) (p = 0.0152 for 75% ESL; p < 0.0001 for 50% ESL; p < 0.0001 for 25% ESL). There were no statistically significant differences in the incidence of adverse events between the two groups. No severe adverse events occurred in either group.</p><p><strong>Conclusions: </strong>The results of this study suggest that rhBMP-2/β-TCP is a safe graft material that provides a high alveolar bone preservation effect in patients receiving dental extraction.</p><p><strong>Trial registration: </strong>Clinicaltrials.gov , NCT02714829 , Registered 22 March 2016.</p>","PeriodicalId":18357,"journal":{"name":"Maxillofacial Plastic and Reconstructive Surgery","volume":"43 1","pages":"42"},"PeriodicalIF":2.3,"publicationDate":"2021-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8688599/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39603490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
Is distal segment ostectomy essential for stabilization of the condylar position in patients with facial asymmetry? 对于面部不对称的患者,远端骨段切除对于稳定髁突位置是否必要?
IF 2.3
Maxillofacial Plastic and Reconstructive Surgery Pub Date : 2021-11-22 DOI: 10.1186/s40902-021-00325-3
Ki Eun Hong, Eun Sup Shin, Jun Park, Ji Eon Yun, Chul Hoon Kim, Jung Han Kim, Bok Joo Kim
{"title":"Is distal segment ostectomy essential for stabilization of the condylar position in patients with facial asymmetry?","authors":"Ki Eun Hong,&nbsp;Eun Sup Shin,&nbsp;Jun Park,&nbsp;Ji Eon Yun,&nbsp;Chul Hoon Kim,&nbsp;Jung Han Kim,&nbsp;Bok Joo Kim","doi":"10.1186/s40902-021-00325-3","DOIUrl":"https://doi.org/10.1186/s40902-021-00325-3","url":null,"abstract":"<p><strong>Background: </strong>The purpose of this retrospective study was to evaluate the postoperative change in the position and stability of the mandibular condyle after bilateral sagittal split ramus osteotomy (BSSRO) and BSSRO with distal segmental ostectomy (DSO) in patients with facial asymmetry using 3D computed tomography.</p><p><strong>Methods: </strong>The condyles of the patient diagnosed with facial asymmetry were divided into the deviated side (DS) and the non-deviated side (NDS). Group I, which was treated with BSSRO only, and Group II, which additionally received DSO along with BSSRO, were superimposed on the condyle using the pre-and postoperative 3D CT. The amount of condylar change in anteroposterior displacement, mediolateral displacement, and rotation was measured. The clinical symptoms of temporomandibular joint were also evaluated before and after surgery for each patient.</p><p><strong>Results: </strong>Between Groups I and II, there was no statistically significant difference in the anteroposterior condylar position on both DS and NDS. And also, there was no statistical difference between the two groups in the mediolateral change on DS but, statistically significant difference on NDS. The change in the rotation of the condyle was observed to rotate inward from both condylar heads of Groups I and II, and a statistically significant difference was observed between the two groups on both DS and NDS. Moreover, no difference in clinical temporomandibular joint symptoms was observed after surgery in each DS and NDS condyle of the two groups.</p><p><strong>Conclusions: </strong>As a result of analyzing the condylar position change of the group treated with BSSRO alone and the group treated with BSSRO and DSO in patients with facial asymmetry, there were statistically significant differences in the mediolateral displacement of NDS and the condyle rotation of NDS and DS. However, the anteroposterior condylar position did not show any difference in the bilateral condyles. In addition, since worsening clinical symptoms of bilateral temporomandibular joint were not observed before and after surgery in both groups, it is concluded that it is not necessary to accompany DSO in patients with facial asymmetry (minimum 3 mm, maximum 7 mm).</p>","PeriodicalId":18357,"journal":{"name":"Maxillofacial Plastic and Reconstructive Surgery","volume":"43 1","pages":"41"},"PeriodicalIF":2.3,"publicationDate":"2021-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8608960/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39646489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
The effect of 4-hexylresorinol administration on NAD+ level and SIRT activity in Saos-2 cells. 4-己基间苯二酚对Saos-2细胞NAD+水平和SIRT活性的影响。
IF 2.3
Maxillofacial Plastic and Reconstructive Surgery Pub Date : 2021-11-01 DOI: 10.1186/s40902-021-00326-2
In-Song Lee, Jun-Ho Chang, Dae-Won Kim, Seong-Gon Kim, Tae-Woo Kim
{"title":"The effect of 4-hexylresorinol administration on NAD+ level and SIRT activity in Saos-2 cells.","authors":"In-Song Lee,&nbsp;Jun-Ho Chang,&nbsp;Dae-Won Kim,&nbsp;Seong-Gon Kim,&nbsp;Tae-Woo Kim","doi":"10.1186/s40902-021-00326-2","DOIUrl":"https://doi.org/10.1186/s40902-021-00326-2","url":null,"abstract":"<p><strong>Background: </strong>4-hexylresorcinol (4HR) has been shown to have anti-oxidant activity similar to that of resveratrol. As resveratrol increases sirtuin (SIRT) activity, 4HR might behave similarly to resveratrol.</p><p><strong>Method: </strong>In this study, the expression levels of SIRT1, SIRT3, and SIRT6 were evaluated after 4HR administration (1-100 μM). As NAD+ is a substrate for SIRTs, its levels with SIRT activity were also studied.</p><p><strong>Results: </strong>In the results, SIRT3 (100 μM at 24 h) and SIRT6 (1-100 μM at 24 h and 10 μM at 8 h) were shown to have significantly higher expression levels compared to untreated control (p < 0.05). Pan-SIRT activity and the NAD+ level was significantly increased compared to that of the untreated control (p < 0.05; 10 and 100 μM at 24 h).</p><p><strong>Conclusion: </strong>4HR administration increased SIRT activity and the NAD+ level in Saos-2 cells.</p>","PeriodicalId":18357,"journal":{"name":"Maxillofacial Plastic and Reconstructive Surgery","volume":"43 1","pages":"39"},"PeriodicalIF":2.3,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8558123/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39578048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
The dual-port endoscope-assisted cyst enucleation on the maxillofacial region. 双孔内窥镜辅助颌面部囊肿摘除术。
IF 2.3
Maxillofacial Plastic and Reconstructive Surgery Pub Date : 2021-10-22 DOI: 10.1186/s40902-021-00327-1
Hyuk Choi, Gyu-Jang Cho, Ki-Hyun Jung, Jae-Yun Jeon, Seung-Weon Lim, Chang-Joo Park, Kyung-Gyun Hwang
{"title":"The dual-port endoscope-assisted cyst enucleation on the maxillofacial region.","authors":"Hyuk Choi,&nbsp;Gyu-Jang Cho,&nbsp;Ki-Hyun Jung,&nbsp;Jae-Yun Jeon,&nbsp;Seung-Weon Lim,&nbsp;Chang-Joo Park,&nbsp;Kyung-Gyun Hwang","doi":"10.1186/s40902-021-00327-1","DOIUrl":"https://doi.org/10.1186/s40902-021-00327-1","url":null,"abstract":"<p><strong>Background: </strong>Endoscope-assisted surgery is a surgical method that has been used in oral and maxillofacial surgical fields. It provides good illumination, clear, and magnified visualization of the operative field. The purpose of this article is to describe the early clinical experiences to conduct minimally invasive surgery with endoscope-assisted enucleation of cysts on the jaw. It appears that this approach may be a superior alternative to the conventional approach.</p><p><strong>Methods: </strong>In this study, 24 patients (9 females, 15 males, average age 41.5) underwent endoscope-assisted cyst enucleation under general anesthesia. All operations were done by one surgeon. The cases were classified depending on whether bone penetration occurred at the cyst site. The cystic lesions were enucleated using an endoscope with a 0°, 1.9 mm diameter, or a 30°, 2.7 mm diameter. Two bony windows were used for the insertion of a syringe for irrigation, curettes, suction tips, sinus blades, surgical drills, and an endoscope. An additional small channel was made for the insertion of endoscopic instruments.</p><p><strong>Results: </strong>The 24 patients who underwent cyst enucleation were regularly observed for 3 to 12 months to evaluate for complications. Although some patients experienced swelling and numbness, these symptoms did not persist, and the patients soon returned to normal and there was no sign of recurrence.</p><p><strong>Conclusions: </strong>The results of this study have suggested the possibility of minimally invasive surgery with endoscopes when it comes to cyst removal in the oral and maxillofacial region. Nevertheless, this study has limitations designed as a preliminary report focusing on the feasibility of endoscope-assisted cyst enucleation in the oral and maxillofacial regions.</p>","PeriodicalId":18357,"journal":{"name":"Maxillofacial Plastic and Reconstructive Surgery","volume":"43 1","pages":"40"},"PeriodicalIF":2.3,"publicationDate":"2021-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8536808/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39543264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
An additional lysis procedure during arthrocentesis of the temporomandibular joint. 颞下颌关节置换术中附加的松解手术。
IF 2.3
Maxillofacial Plastic and Reconstructive Surgery Pub Date : 2021-10-12 DOI: 10.1186/s40902-021-00324-4
Keon-Mo Lee, Wan-Hee Jang, Myoung-Sang You, Bu-Kyu Lee
{"title":"An additional lysis procedure during arthrocentesis of the temporomandibular joint.","authors":"Keon-Mo Lee,&nbsp;Wan-Hee Jang,&nbsp;Myoung-Sang You,&nbsp;Bu-Kyu Lee","doi":"10.1186/s40902-021-00324-4","DOIUrl":"https://doi.org/10.1186/s40902-021-00324-4","url":null,"abstract":"<p><strong>Background: </strong>Arthrocentesis of the temporomandibular joint (TMJ) is an easy, highly efficient, minimally invasive procedure for treating temporomandibular joint disorders (TMDs). However, in some cases of mouth opening limitation (MOL), routine arthrocentesis is ineffective due to severe fibrotic adhesion in the superior joint space of the TMJ. In this condition, mechanical lysis of the adhesions might be needed to resolve the MOL, as well as other symptoms, such as chronic pain. Currently, this can be achieved by arthroscopic surgery or open TMJ surgery. The objective of this study was to introduce and evaluate our trial of the adhesion lysis procedure during arthrocentesis of the TMJ using normal 18-gauge needles.</p><p><strong>Results: </strong>In this study, 40 patients with MOL due to disc derangement underwent conventional arthrocentesis at first and then physical detachment was conducted using the same needle. The change in maximum mouth opening (MMO) and the pain at the TMJ were recorded before, during, and after treatment according to our protocol. The mean increase in MMO after conventional arthrocentesis was 6.6 ± 4.2mm. The mean increase in MMO after the detachment procedure with the same needle was 4.2 ± 2.0 mm. The MMO in ten patients was significantly increased after the detachment procedure than after arthrocentesis alone. In all cases, the pain intensity in the TMJ significantly decreased over time, whereas the MMO increased over time. No adverse effect was observed in all joints during our observation periods.</p><p><strong>Conclusion: </strong>We confirmed that our simple lysis procedure with the same needle of the arthrocentesis of the TMJ could not only improve the MMO more than after a conventional arthrocentesis but also resolve severe adhesion of the joint space that was ineffective by conventional arthrocentesis. Although this additional lysis procedure is simple, it might reduce the number of cases of more invasive procedures such as arthroscopic surgery or open TMJ surgery.</p>","PeriodicalId":18357,"journal":{"name":"Maxillofacial Plastic and Reconstructive Surgery","volume":"43 1","pages":"38"},"PeriodicalIF":2.3,"publicationDate":"2021-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8511201/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39508826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信