측두하악장애 치료유형 분석

• 영문명: Analysis of treatment patterns of temporomandibular disorders
• 발행기관: 대한구강악안면외과학회
• 저자명: 차용훈(Yong-Hoon Cha) 김범준(Bum-Joon Kim) 임재형(Jae-Hyung Lim) 박광호(Kwang-Ho Park) 김형곤(Hyung-Gon Kim) 허종기(Jong-Ki Huh)
• 간행물 정보: 『대한구강악안면외과학회지』대한구강악안면외과학회지 제36권 제6호, 520~527쪽, 전체 8쪽
• 주제분류: 의약학 > 내과학
• 파일형태: PDF
• 발행일자: 2010.12.30

영문 초록

Introduction: This study examined the treatment patterns of temporomandibular disorders (TMD) including conservative and surgical procedures. Materials and Methods: Patients with TMD who visited Gangnam Severance Hospital from June 2007 to May 2008 were enrolled in this study. All patients were examined from the orthopantomogram, temporomandibular joint (TMJ) tomography, and a clinical examination. The patients who required a further evaluation were examined by magnetic resonance imaging and/or computed tomography. The treatment patterns were divided into counseling, medication, splint therapy, botulinum toxin injection (BTI) and surgical treatment. Results: Among the 2,464 patients, the average age was 31.8 years (ranging from 6 to 93); 764 (31.0%) were male and 1,700 (69.0%) were female. 2,355 (95.6%) patients were treated with conservative therapy; 1,460 (62.0%) patients were treated with medication, 931 (39.5%) patients were treated with splint, and 46 (2.0%) were treated with BTI. There were 109 (4.4%) patients treated surgically. Eight (0.3%) patients were treated with total temporomandibular joint replacement surgery. Conclusion: Almost all patients with TMD were treated using conservative methods. Those patients who received surgical treatment because of an ineffective response to conservative treatment had definite problems with the internal derangement and/or osteoarthritis or had severe clinical symptoms.

키워드

Temporomandibular joint disorders Splint Arthroplasty Botulinum toxins Replacement arthroplasty