Ungor Cem, Cezairli Burak, Taskesen Fatih, Dayisoylu Ezher Hamza, Cizmeci Senel Figen
From the *Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, University of Karadeniz Technical University, Trabzon, Turkey; and †Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, University of Baskent University, Konya, Turkey.
J Craniofac Surg. 2014 Nov;25(6):e592-8. doi: 10.1097/SCS.0000000000001090.
Most of the patients treated for temporomandibular joint disorders constituted from the female population, and this situation is generally hypothesized and demonstrated in several studies. Arthrocentesis of the temporomandibular joint is a minimally invasive and effective treatment method in the management of patients with stage III and stage IV Wilkes syndrome. This study was aimed at assessing the effectiveness of this method between menopausal and nonmenopausal female patients.
A total of 59 patients (25 menopausal and 34 nonmenopausal) were evaluated according to the visual analog scale for pain and chewing function scores, joint sound, and maximum mouth opening.
In both groups, the parameters were detected statistically significant according to follow-up periods. The menopausal group showed better results than the nonmenopausal group at 6-month controls.
In conclusion, arthrocentesis is a satisfactory treatment modality in the management of temporomandibular joint derangements. Female reproductive hormone levels may affect the success of this procedure.
大多数接受颞下颌关节疾病治疗的患者为女性，这种情况在多项研究中普遍得到假设和证实。颞下颌关节穿刺术是治疗III期和IV期威尔克斯综合征患者的一种微创且有效的治疗方法。本研究旨在评估该方法在绝经和未绝经女性患者中的有效性。
根据视觉模拟疼痛量表、咀嚼功能评分、关节弹响和最大张口度，对总共59例患者（25例绝经患者和34例未绝经患者）进行评估。
在两个组中，根据随访期检测到参数具有统计学意义。在6个月的对照中，绝经组的结果优于未绝经组。
总之，关节穿刺术是治疗颞下颌关节紊乱的一种令人满意的治疗方式。女性生殖激素水平可能会影响该手术的成功率。
