Barriere P, Zink S, Riehm S, Kahn J L, Veillon F, Wilk A
Service de stomatologie, chirurgie maxillofaciale, plastique et reconstructrice, CHU de Strasbourg, 1, place de l'Hôpital, BP 426, 67091 Strasbourg cedex, France.
Rev Stomatol Chir Maxillofac. 2009 Apr;110(2):77-80. doi: 10.1016/j.stomax.2008.05.010. Epub 2009 Jan 21.
Massage of the lateral pterygoid muscle according to Cyriax's principles is an unrecognized procedure. This procedure was tried on patients presenting with temporomandibular joint dysfunction syndrome.
Fifteen patients were treated. Pain, joint clicking, measurement of mouth opening, lateral excursion and propulsion were recorded. Assessment was made before and after the massage in the same consultation.
Joint clicking was solved in 80% and pain in 50% of the cases. Mouth opening increased by 12.8%, propulsion by 11.6% and lateral excursion by 41.3%.
Massage of the lateral pterygoid muscle according to Cyriax's principles is a simple and efficient method that can be recommended for patients presenting with temporomandibular joint dysfunction syndrome. We performed a brief anatomical and radiological MRI study supporting the feasibility of lateral pterygoid muscle palpation.
按照西里克斯原则对翼外肌进行按摩是一种未被认可的操作方法。该方法已应用于颞下颌关节功能紊乱综合征患者。
对15例患者进行治疗。记录疼痛、关节弹响、张口度、侧向运动及前伸运动的测量数据。在同一次会诊中于按摩前后进行评估。
80%的病例关节弹响得到解决，50%的病例疼痛缓解。张口度增加了12.8%，前伸运动增加了11.6%，侧向运动增加了41.3%。
按照西里克斯原则对翼外肌进行按摩是一种简单有效的方法，可推荐用于颞下颌关节功能紊乱综合征患者。我们进行了一项简短的解剖学及放射学MRI研究，以支持翼外肌触诊的可行性。
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