Az állkapocsízületi károsodás kezelése szteroiddal, illetve hialuronsavval
| Autor: | László Restár, Péter Hermann, Peter Schmidt, Krisztián Benedek Csomó, Mihály Vaszilkó, Szonja Vingender |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.drug_class
Visual analogue scale business.industry medicine.medical_treatment 030206 dentistry General Medicine Temporomandibular joint Steroid Masticatory force 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine medicine.anatomical_structure Intra articular chemistry Anesthesia Hyaluronic acid medicine Corticosteroid Effective treatment 030212 general & internal medicine business |
| Zdroj: | Orvosi Hetilap. 159:1475-1482 |
| ISSN: | 1788-6120 0030-6002 |
| DOI: | 10.1556/650.2018.31138 |
| Popis: | Abstract: Introduction: Derangement of the temporomandibular joint complicates everyday life, due to the masticatory malfunction and the continuous pain sensation of the head and facial region. The therapy is multidisciplinary and varying. In case of the inefficiency of conservative therapy, minimally invasive intervention is needed with intraarticular injection. Aim: The aim of our study was to examine whether hyaluronic acid injection is more beneficial compared to corticosteroid in 37 joints. We also examined whether the efficacy of the therapy is influenced by hyaluronic acid molecular weight and the used protocol. Method: Wilkes stage, maximal mouth opening and the Visual Analogue Scale were determined pre-operatively and 6 months later. Corticosteroid application was performed once, hyaluronic acid was injected on a weekly bases 3 times in a row, by use of low (6–10 × 105 dalton) or high molecular weight (24–36 × 105 dalton) preparations. Results: The medical state of the patients treated with corticosteroid temporarily improved, but the symptoms returned. Due to hyaluronic acid treatment, significant improvement was revealed in all parameters (pwilkesmouth-opening = 0.0002; pVAS3.–1. = 20.37; T3.–2. = 9.57). Conclusions: Comparing the two agents we can state that hyaluronic acid was significantly more effective and its application for three times seems to be the most effective treatment decreasing the symptoms. The high molecular weight solution was more effective in increasing mouth opening. In contrast to hyaluronic acid, corticosteroid had no prolonged effect in higher Wilkes stages. Orv Hetil. 2018; 159(36): 1475–1482. |
| Databáze: | OpenAIRE |
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