二极管激光用于伴牙关紧闭的口腔黏膜下纤维化：前瞻性临床研究。
Use of diode laser in oral submucous fibrosis with trismus: prospective clinical study.
作者信息
Talsania Jawahar R, Shah Umakant B, Shah Ajay I, Singh Naveen K
机构信息
Department of ENT, Smt NHL Municipal Medical College, V. S. General Hospital, B-108, Doctor House, Ellisbridge, Ahmedabad - 6, India.
出版信息
Indian J Otolaryngol Head Neck Surg. 2009 Jan;61(Suppl 1):22-5. doi: 10.1007/s12070-009-0012-x. Epub 2009 Mar 21.
INTRODUCTION
Oral submucous fibrosis (OSMF) in later stages invariably leads to trismus due to retromolar fibrosis and buccal mucosa involvement. Medical treatment has limited role once trismus is established. Various surgical methods have been used with varying success to relieve trismus. We used diode laser to relieve trismus. All patients were diagnosed to have OSMF with trismus. The results are quite encouraging.
STUDY DESIGN
Prospective clinical study. This study involved 8 patients between the years 2002 and 2006.
OBJECTIVE
To evaluate the efficacy of laser to reduce trismus in OSMF METHODS: Laser with follow-up physiotherapy
CONCLUSION
Diode laser gave good result in all our patients. Diode laser is a less expensive and alternative method in group III and group IVA cases in whom bilateral temporalis myotomy and coronoidectomy are considered to be the only solution. This technique has less morbidity and is suitable for Asian population as it requires less hospital stay and less followup as compared to other surgical methods.
引言
晚期口腔黏膜下纤维化（OSMF）由于磨牙后区纤维化和颊黏膜受累， invariably会导致张口受限。一旦张口受限确立，药物治疗作用有限。已采用多种手术方法来缓解张口受限，效果各异。我们使用二极管激光来缓解张口受限。所有患者均被诊断为患有伴有张口受限的OSMF。结果相当令人鼓舞。
研究设计
前瞻性临床研究。本研究纳入了2002年至2006年间的8例患者。
目的
评估激光减轻OSMF患者张口受限的疗效。方法：激光治疗并随访物理治疗。
结论
二极管激光在我们所有患者中均取得了良好效果。对于III组和IVA组病例，在考虑双侧颞肌切开术和冠突切除术为唯一解决方案时，二极管激光是一种成本较低的替代方法。与其他手术方法相比，该技术发病率较低，适合亚洲人群，因为它需要的住院时间和随访较少。
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