Tek Girişli Artrosentez İşleminin Temporomandibular Eklem Bozukluklarına Kısa Dönem Etkisi

Öz

Amaç: Artrosentez; temporomandibular eklemde ağrının,

hareket kısıtlılığının ve enflamasyonun giderilmesi

amacıyla üst eklem boşluğunun yıkanması işlemidir. Bu

çalışmanın amacı; temporomandibular eklem ağrısı ve

mandibular hareketler üzerinde başlangıç tedavisi olarak

artrosentez işleminin klinik bulgulara kısa dönem etkinliğini

değerlendirmektir.

Materyal-Method: Çalışmaya 18 yaş üstü 40 hasta dahil

edildi. Eklemde rahatsızlık nedeniyle başvuran hastalar,

klinik muayene ve manyetik rezonans görüntüleme ile

değerlendirildi. Artrosentez endikasyonu koyulan hastalar

çalışma grubunu oluşturdu. Artrosentez işleminden önce

mandibular hareket mesafeleri ve görsel analog skala

yardımıyla ağrı düzeyleri değerlendirildi. İşlemden bir gün ve

bir hafta sonra klinik olarak ölçümler tekrarlandı. Elde edilen

bulgular tedavi öncesi bulgularla karşılaştırılıp, istatistiksel

olarak analiz edildi.

Bulgular: Bir haftalık kontrolde, VAS ile değerlendirilen

istirahatte ve harekette temporomandibular eklem ağrısı

istatistiksel olarak anlamlı derecede azaldı ve maksimum

ağız açıklığı ortalaması 32,4 mm’den 38,78 mm’ye yükseldi

(p=0,001).

Sonuç: Başlangıç tedavisi olarak artrosentez; mandibular

hareket kısıtlılığı ve ağrıyı kısa dönemde azaltır. Akut ağrı

ve hareket kısıtlılığı olan hastalarda, semptomların içsel

düzensizliklerden kaynaklandığı teşhis edildikten sonra,

artrosentez başlangıç prosedürü olarak uygulanabilir.

Anahtar Kelimeler

• MRG,Tek Girişli Artrosentez,TME

Short Term Effects of Single Puncture Arthrocentesis Procedure in Temporomandibular Joint Disorders

Öz

Objective: Arthrocentesis is an irrigation procedure of upper

joint space to eliminate inflammation, and joint movement

restriction. The aim of this study is to present the short term

clinical effects of single puncture arthrocentesis as initial

treatment with regard to temporomandibular joint pain and

mandibular movement.

Material-Method: This study has been conducted on 40

patients over the age of 18. The patients who were attended

with the complaint of temporomandibular joint disorder has

been evaluated with clinical and magnetic resonance imaging

findings. The patients that was decided arthrocentesis

indication included in the study. Before the arthrocentesis the

mandibular movement measurements has been performed and

pain has been evaluated with visual anlogue scale. Clinical

follow up has been performed one day and one week after

the procedure by repeating the measurements. The clinical

findings between before and after the procedure has been

evaluted and statistically analised.

Results: After one week, the temporomandibular joint

pain (mm VAS at rest, and mm VAS during movement)

had decreased rapidly and maximum mouth opening (mm

interincisor distance) had improved from 32.4 mm to 38.78

mm (p=0.001).

Conclusions: Arthrocentesis as initial treatment reduces pain

and restrict of mandibular movement more rapidly. In patients

with acute pain and limitation of mandibular movement,

arthrocentesis may be performed as the initial procedure

after symptoms are diagnosed as originating from internal

derangements in temporomandibular joint.

Anahtar Kelimeler

• Single Puncture Arthrocentesis,MRI,TMJ

Kaynakça

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