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首页> 外文期刊>Maxillofacial Plastic and Reconstructive Surgery >Temporomandibular joint disc plication with MITEK mini anchors: surgical outcome of 65 consecutive joint cases using a minimally invasive approach
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Temporomandibular joint disc plication with MITEK mini anchors: surgical outcome of 65 consecutive joint cases using a minimally invasive approach

机译：颞下颌关节盘用米氏迷你锚点：使用微创方法的65例连续关节案件的手术结果

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BackgroundThe purpose of this study is to introduce our modified disc plication technique using MITEK mini anchors and to evaluate the clinical outcome for patients with internal derangement (ID) of the temporomandibular joint (TMJ).Patients and methodsWe evaluated 65 joints in 46 patients, comprised 32 women and 14 men, who first visited the Asan Medical Center from December 2012 to December 2016. The age of the patients ranged from 14 to 79?years, with a mean age of 36.6?years. The patients presented with joint problems including pain, joint noise, and mouth opening limitation (MOL). Patients who met our inclusion criteria underwent unilateral or bilateral disc repositioning surgery with our minimally invasive disc plication technique using MITEK mini anchors and No. 2-0 Ethibond? braided polyester sutures. The variables taken into account in this study were the range of maximum mouth opening (MMO), painful symptoms (evaluated with the visual analog scale, VAS), and the type of noise (click, popping, crepitus) in the TMJ.ResultsPreoperative examination revealed painful symptoms in 50.7% ( n = 35) of the operated joints ( n = 69) and the presence of clicks in 56.5% ( n = 39). Postoperative examination revealed that 4.3% ( n = 3) of the operated joints had painful symptoms with lower intensity than that in the preoperative condition. Additionally, 17.4% ( n = 12) had residual noise in the TMJ, among which two were clicking and the other 10 had mild crepitus. The intensity of the postoperative residual noise was significantly decreased in all cases compared to that in the preoperative condition. Among patients with MOL below 38?mm ( n = 18), the mean MMO was 31.4?mm preoperatively and 44.2?mm at 6?months postoperatively, with a mean increase of 13.8?mm. A barely visible scar at the operation site was noted during the postoperative observation period, with no significant complications such as facial palsy or permanent occlusal disharmony.ConclusionSubjective symptoms in all patients improved following the surgery. TMJ disc plication using MITEK mini anchors with our minimally invasive approach may be a feasible and effective surgical option for treating TMJ ID patients who are not responsive to conservative treatment.
机译：背景技术本研究的目的是使用Mitek Mini锚来介绍我们改进的盘镀技术，并评估颞下颌关节（TMJ）的内部紊乱（ID）患者的临床结果.Patiants和方法在46名患者中评估了65名患者32名妇女和14名男子，2012年12月至2016年12月首次访问了Asan Medical Center。患者的年龄范围为14至79岁？年，平均年龄为36.6岁？年。患者呈现联合问题，包括疼痛，关节噪音和口腔打开限制（mol）。符合我们纳入标准的患者接受单侧或双侧椎间盘重新定位手术，利用MITEK MINI锚点和第2-0号乙丝德的微创磁盘镀金技术进行了微创磁盘镀金技术？编织涤纶缝合线。在本研究中考虑的变量是最大嘴（MMO），疼痛症状（评估为视觉模拟量表，VAS）以及TMJ.ResultsPreoperative检查中的噪音类型（点击，弹出，蠕动）的类型揭示了50.7％（n = 35）的操作关节（n = 69）的痛苦症状，并且在56.5％的情况下存在点击（n = 39）。术后检查表明，4.3％（n = 3）的操作关节具有痛苦的症状，强度低于术前条件。此外，17.4％（n = 12）在TMJ中具有残余噪声，其中两次点击，另外10个具有温和的蠕动。与术前条件相比，所有情况下，所有病症都在术后残留噪声的强度显着降低。在摩洛患者低于38Ω·mm（n = 18）中，平均MMO术前31.4毫秒，术后6.个月为31.4ΩΩmm，平均增加13.8Ωmm。在术后观察期间注意到操作现场的几乎可见的瘢痕，没有显着的并发症，如面部麻痹或永久性咬合不和谐。在手术后所有患者的症状都改善。使用Mitek Mini锚点的TMJ盘镀载具有我们微创方法的可行和有效的手术选择，用于治疗与保守治疗不负责任的TMJ ID患者。

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