{"title":"颞下颌关节镜手术后不同的关节内注射物质及其对术后早期的影响:随机临床试验。","authors":"Marijus Leketas, Dominykas Dvylys, Dovydas Sakalys, Regimantas Simuntis","doi":"10.1080/08869634.2022.2081445","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To compare the effect of plasma rich in growth factors (PRGF), hyaluronic acid (HA), and saline intra-articular injections following temporomandibular joint arthroscopy on decreasing pain and increasing maximal mouth opening.</p><p><strong>Methods: </strong>Included patients were randomized into three groups: PRGF group, hyaluronic acid group, and control group. Intra-articular injections were done at the end of the arthroscopy. Pain was measured using the VAS scale preoperatively, 7 days, 1 month, and 6 months postoperatively. Maximal mouth opening was measured preoperatively and 7 days postoperatively.</p><p><strong>Results: </strong>There was a statistically significant decrease in pain in all groups, although, the decrease was significantly greater in the HA group following surgery.</p><p><strong>Conclusion: </strong>A hyaluronic acid injection following temporomandibular joint arthroscopy can decrease pain better than saline and platelet-rich plasma during the first postoperative week. However, the results do not differ in later postoperative periods.</p>","PeriodicalId":51560,"journal":{"name":"DESIGN ISSUES","volume":"5 1","pages":"1-6"},"PeriodicalIF":0.4000,"publicationDate":"2022-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Different intra-articular injection substances following temporomandibular joint arthroscopy and their effect on early postoperative period: A randomized clinical trial.\",\"authors\":\"Marijus Leketas, Dominykas Dvylys, Dovydas Sakalys, Regimantas Simuntis\",\"doi\":\"10.1080/08869634.2022.2081445\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To compare the effect of plasma rich in growth factors (PRGF), hyaluronic acid (HA), and saline intra-articular injections following temporomandibular joint arthroscopy on decreasing pain and increasing maximal mouth opening.</p><p><strong>Methods: </strong>Included patients were randomized into three groups: PRGF group, hyaluronic acid group, and control group. Intra-articular injections were done at the end of the arthroscopy. Pain was measured using the VAS scale preoperatively, 7 days, 1 month, and 6 months postoperatively. Maximal mouth opening was measured preoperatively and 7 days postoperatively.</p><p><strong>Results: </strong>There was a statistically significant decrease in pain in all groups, although, the decrease was significantly greater in the HA group following surgery.</p><p><strong>Conclusion: </strong>A hyaluronic acid injection following temporomandibular joint arthroscopy can decrease pain better than saline and platelet-rich plasma during the first postoperative week. However, the results do not differ in later postoperative periods.</p>\",\"PeriodicalId\":51560,\"journal\":{\"name\":\"DESIGN ISSUES\",\"volume\":\"5 1\",\"pages\":\"1-6\"},\"PeriodicalIF\":0.4000,\"publicationDate\":\"2022-05-30\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"DESIGN ISSUES\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1080/08869634.2022.2081445\",\"RegionNum\":2,\"RegionCategory\":\"艺术学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"0\",\"JCRName\":\"ARCHITECTURE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"DESIGN ISSUES","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/08869634.2022.2081445","RegionNum":2,"RegionCategory":"艺术学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"0","JCRName":"ARCHITECTURE","Score":null,"Total":0}
引用次数: 0
摘要
目的比较颞下颌关节镜术后关节内注射富含生长因子的血浆(PRGF)、透明质酸(HA)和生理盐水对减轻疼痛和增加最大张口量的效果:将纳入的患者随机分为三组:PRGF组、透明质酸组和对照组。关节镜手术结束后进行关节内注射。使用 VAS 量表测量术前、术后 7 天、1 个月和 6 个月的疼痛程度。术前和术后 7 天测量最大张口度:结果:各组疼痛均有统计学意义上的明显减轻,但术后注射玻尿酸组的减轻幅度明显更大:结论:颞下颌关节镜手术后注射透明质酸比生理盐水和富血小板血浆更能减轻术后第一周的疼痛。结论:颞下颌关节镜手术后注射透明质酸能在术后第一周内比生理盐水和富血小板血浆更好地减轻疼痛,但在术后后期效果没有差异。
Different intra-articular injection substances following temporomandibular joint arthroscopy and their effect on early postoperative period: A randomized clinical trial.
Objective: To compare the effect of plasma rich in growth factors (PRGF), hyaluronic acid (HA), and saline intra-articular injections following temporomandibular joint arthroscopy on decreasing pain and increasing maximal mouth opening.
Methods: Included patients were randomized into three groups: PRGF group, hyaluronic acid group, and control group. Intra-articular injections were done at the end of the arthroscopy. Pain was measured using the VAS scale preoperatively, 7 days, 1 month, and 6 months postoperatively. Maximal mouth opening was measured preoperatively and 7 days postoperatively.
Results: There was a statistically significant decrease in pain in all groups, although, the decrease was significantly greater in the HA group following surgery.
Conclusion: A hyaluronic acid injection following temporomandibular joint arthroscopy can decrease pain better than saline and platelet-rich plasma during the first postoperative week. However, the results do not differ in later postoperative periods.
期刊介绍:
The first American academic journal to examine design history, theory, and criticism, Design Issues provokes inquiry into the cultural and intellectual issues surrounding design. Regular features include theoretical and critical articles by professional and scholarly contributors, extensive book reviews, and illustrations. Special guest-edited issues concentrate on particular themes, such as artificial intelligence, product seminars, design in Asia, and design education. Scholars, students, and professionals in all the design fields are readers of each issue.