超声引导下关节穿刺治疗髁状突骨折:技术报告

IF 1.6 3区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE
Tomoharu Hemmi, Tomohiro Uno, Kazuyuki Yusa, Shigeo Ishikawa, Mitsuyoshi Iino
{"title":"超声引导下关节穿刺治疗髁状突骨折:技术报告","authors":"Tomoharu Hemmi, Tomohiro Uno, Kazuyuki Yusa, Shigeo Ishikawa, Mitsuyoshi Iino","doi":"10.1007/s11282-024-00744-8","DOIUrl":null,"url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Objectives</h3><p>Double puncture arthrocentesis (DPA) of the temporomandibular joint (TMD) is considered an effective preservative option for managing mandibular condylar head fractures. However, the procedure is commonly performed by a traditional “blind” method using anatomical characteristics. In the present study, an ultrasonography (US) device was applied for the treatment of a case with a fractured mandibular condyle.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>A 79-year-old female was diagnosed right side condylar head fracture complaining pain of right TMD and reduced mouth opening range: inter-incisor distance of 20 mm. Since the fracture position was high and inoperable, the decision was made to perform DPA of the TMD. The US probe was positioned parallel and slightly oblique to the major axis of the mandibular ramus. Both the posterior and anterior insertions into the joint space were performed according to the axis mentioned above, which enabled the operator to visualize the entirety of the needle.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>The device offered safety and ensured accuracy by providing real-time visual aid to the surgeon. The procedure provided an early increase in the inter-incisor distance (31 mm) and pain relief.</p><h3 data-test=\"abstract-sub-heading\">Conclusions</h3><p>Hence, for the preservative treatment of mandibular condylar head fractures, based on the present study, we recommend US-guided arthrocentesis as a safe, feasible, and effective therapeutic option instead of the conventional “blind” method.</p>","PeriodicalId":56103,"journal":{"name":"Oral Radiology","volume":null,"pages":null},"PeriodicalIF":1.6000,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Ultrasound-guided arthrocentesis for condylar head fracture: a technical report\",\"authors\":\"Tomoharu Hemmi, Tomohiro Uno, Kazuyuki Yusa, Shigeo Ishikawa, Mitsuyoshi Iino\",\"doi\":\"10.1007/s11282-024-00744-8\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<h3 data-test=\\\"abstract-sub-heading\\\">Objectives</h3><p>Double puncture arthrocentesis (DPA) of the temporomandibular joint (TMD) is considered an effective preservative option for managing mandibular condylar head fractures. However, the procedure is commonly performed by a traditional “blind” method using anatomical characteristics. In the present study, an ultrasonography (US) device was applied for the treatment of a case with a fractured mandibular condyle.</p><h3 data-test=\\\"abstract-sub-heading\\\">Methods</h3><p>A 79-year-old female was diagnosed right side condylar head fracture complaining pain of right TMD and reduced mouth opening range: inter-incisor distance of 20 mm. Since the fracture position was high and inoperable, the decision was made to perform DPA of the TMD. The US probe was positioned parallel and slightly oblique to the major axis of the mandibular ramus. Both the posterior and anterior insertions into the joint space were performed according to the axis mentioned above, which enabled the operator to visualize the entirety of the needle.</p><h3 data-test=\\\"abstract-sub-heading\\\">Results</h3><p>The device offered safety and ensured accuracy by providing real-time visual aid to the surgeon. The procedure provided an early increase in the inter-incisor distance (31 mm) and pain relief.</p><h3 data-test=\\\"abstract-sub-heading\\\">Conclusions</h3><p>Hence, for the preservative treatment of mandibular condylar head fractures, based on the present study, we recommend US-guided arthrocentesis as a safe, feasible, and effective therapeutic option instead of the conventional “blind” method.</p>\",\"PeriodicalId\":56103,\"journal\":{\"name\":\"Oral Radiology\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.6000,\"publicationDate\":\"2024-04-03\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Oral Radiology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1007/s11282-024-00744-8\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"DENTISTRY, ORAL SURGERY & MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Oral Radiology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s11282-024-00744-8","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
引用次数: 0

摘要

目的颞下颌关节(TMD)双穿刺关节腔穿刺术(DPA)被认为是治疗下颌骨髁状头骨折的有效防腐方法。然而,该手术通常采用传统的 "盲法",利用解剖学特征进行。本研究应用超声设备(US)治疗了一例下颌骨髁状突骨折病例。方法一位 79 岁的女性被诊断为右侧髁状突头骨折,主诉为右侧 TMD 疼痛和张口范围缩小:incisor 间距为 20 mm。由于骨折位置较高且无法手术,因此决定对 TMD 进行 DPA。美国探针的位置与下颌横梁的主轴平行并略微偏斜。结果该装置为外科医生提供了实时视觉辅助,从而确保了安全性和准确性。结论在本研究的基础上,对于下颌髁突头骨折的保留性治疗,我们推荐使用 US 引导下的关节穿刺术,这是一种安全、可行且有效的治疗方法,可替代传统的 "盲法"。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Ultrasound-guided arthrocentesis for condylar head fracture: a technical report

Objectives

Double puncture arthrocentesis (DPA) of the temporomandibular joint (TMD) is considered an effective preservative option for managing mandibular condylar head fractures. However, the procedure is commonly performed by a traditional “blind” method using anatomical characteristics. In the present study, an ultrasonography (US) device was applied for the treatment of a case with a fractured mandibular condyle.

Methods

A 79-year-old female was diagnosed right side condylar head fracture complaining pain of right TMD and reduced mouth opening range: inter-incisor distance of 20 mm. Since the fracture position was high and inoperable, the decision was made to perform DPA of the TMD. The US probe was positioned parallel and slightly oblique to the major axis of the mandibular ramus. Both the posterior and anterior insertions into the joint space were performed according to the axis mentioned above, which enabled the operator to visualize the entirety of the needle.

Results

The device offered safety and ensured accuracy by providing real-time visual aid to the surgeon. The procedure provided an early increase in the inter-incisor distance (31 mm) and pain relief.

Conclusions

Hence, for the preservative treatment of mandibular condylar head fractures, based on the present study, we recommend US-guided arthrocentesis as a safe, feasible, and effective therapeutic option instead of the conventional “blind” method.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
Oral Radiology
Oral Radiology DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
4.20
自引率
13.60%
发文量
87
审稿时长
>12 weeks
期刊介绍: As the official English-language journal of the Japanese Society for Oral and Maxillofacial Radiology and the Asian Academy of Oral and Maxillofacial Radiology, Oral Radiology is intended to be a forum for international collaboration in head and neck diagnostic imaging and all related fields. Oral Radiology features cutting-edge research papers, review articles, case reports, and technical notes from both the clinical and experimental fields. As membership in the Society is not a prerequisite, contributions are welcome from researchers and clinicians worldwide.
×
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×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
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