Evaluación clínica de la Articulación Temporomandibular posterior a la Cirugía Ortognatica
[摘要] :Thisstudycomparestemporomandibularjointdysfunction(TMD)symptomsbeforeandafterbilateralsagittalsplitramusosteotomy,andidentifiespredictivefactorsforthepostoperativeTMDsymptomsbyassessingtheadjustedoddsratiousingmultiplelogisticregressionanalysis.Aconsecutiveseriesof37casestreatedonlywithbilateralsagittalsplitramusosteotomywereevaluated.NewpostoperativeTMDsymptomsappearedin9cases,preoperativeTMDsymptomsdisappearedin6cases,andTMDsymptomswereunchangedin5cases.Themedianperioduntiltheinterincisalopeningrangeattained40mmwas5months(range,from2to15months).AgewasapositivefactorinpatientswithpostoperativeTMDsymptoms,withanoddsratioof1.43(95percentconfidenceinterval,from1.05to1.93).Inaddition,themaximumvalueofthebilateralsetbackdistanceofmorethan9mmwasapositivefactorof6.95(95percentconfidenceinterval,from1.06to45.42).Weconcludedthatsurgicalcorrectioninskeletalmal-occlusionmayaffecttemporomandibularjointdysfunctionsymptoms.
[发布日期] [发布机构]
[效力级别] [学科分类] 口腔科学
[关键词] [时效性]
