Temporomandibular joint arthroscopy in advanced stages of internal derangement: a retrospective cohort study on the influence of age |
| |
| Institution: | 1. Department of Oral and Maxillofacial Surgery, University Hospital La Princesa, Universidad Autónoma de Madrid, Madrid, Spain;2. Department of Oral and Maxillofacial Surgery, University Hospital Montepríncipe, Universidad CEU San Pablo, Madrid, Spain;3. Data Analysis Unit, Health Research Institute, University Hospital La Princesa, Madrid, Spain;1. School of Medicine, University of Queensland, Herston, Australia;2. Department of Maxillofacial Surgery, Royal Brisbane and Women’s Hospital, Herston, Queensland, Australia;1. Oral and Maxillofacial Surgery Department, Queen Elizabeth Hospital Birmingham, UK;2. Restorative Department, Birmingham Dental Hospital, Birmingham, UK;1. Boston Children’s Hospital, Boston, Massachusetts, USA;2. Harvard School of Dental Medicine, Boston, Massachusetts, USA;3. Division of Gastroenterology, Hepatology and Nutrition, Boston Children’s Hospital, Boston, Massachusetts, USA;4. Division of Otolaryngology and Communication Enhancement, Boston Children’s Hospital, Boston, Massachusetts, USA;5. Department of Plastic and Oral Surgery, Boston Children’s Hospital, Boston, Massachusetts, USA;1. Department of Oral and Maxillofacial Surgery, the Affiliated Stomatological Hospital of Guizhou Medical University, Guiyang, China;2. State Key Laboratory of Oral Diseases and National Clinical Research Center for Oral Diseases and Department of Orthognathic and TMJ Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu, China;1. Department of Oral and Maxillofacial Surgery, Hannover Medical School, Hannover, Germany;2. Department of Pathology, Hannover Medical School, Hannover, Germany |
| |
| Abstract: | The aim of this investigation was to evaluate the outcomes of patients with advanced internal derangement of the temporomandibular joint who underwent operative arthroscopy, according to age stratified into two groups: <45 years and ≥45 years. The study included a series of 194 patients. Outcome variables were pain intensity and mandibular mobility. Additionally, the difference in arthroscopic findings in these age groups was studied. The data analysis included the paired t-test, χ2 test, and two-way analysis of variance, with a P-value <0.05 indicating statistical significance. A significant reduction in pain and an improvement in maximum inter-incisal opening (MIO) was observed in both groups starting at 1 month of follow-up (P < 0.01). However, the results for MIO were worse in the ≥ 45 years group (P = 0.036) at 12- and 18-months follow-up. Regarding arthroscopic findings, the study showed a higher prevalence of severe chondromalacia in the ≥45 years group (P = 0.031) and disc displacement without reduction in the <45 years group (P = 0.020). Analysis of variance showed a greater pain reduction if no obliteration of the articular space was observed (P = 0.039). In young and older patients, operative arthroscopy can be useful for short-term treatment in advanced stages of internal derangement of the temporomandibular joint. |
| |
| Keywords: | temporomandibular joint disorders arthroscopy pain range of motion age group |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
