颞下颌关节紊乱病与挥鞭伤：一篇叙述性综述

Temporomandibular disorders and whiplash injury: a narrative review.

作者信息

Landzberg Gillian, El-Rabbany Mohamed, Klasser Gary D, Epstein Joel B

机构信息

Cedars-Sinai Medical Center, Los Angeles, CA, USA; University of Toronto, Toronto, Ontario, Canada.

University of Toronto, Toronto, Ontario, Canada.

出版信息

Oral Surg Oral Med Oral Pathol Oral Radiol. 2017 Aug;124(2):e37-e46. doi: 10.1016/j.oooo.2017.03.001. Epub 2017 Mar 10.

DOI:10.1016/j.oooo.2017.03.001

PMID:28483470

Abstract

OBJECTIVES

The objective of this study was to conduct a review investigating the relationship between temporomandibular disorders (TMDs) and whiplash injuries (WIs).

STUDY DESIGN

The authors conducted a search of PubMed/Medline, Cochrane Database, and EMBASE for studies discussing the prevalence, incidence, severity, treatment, and prognosis of TMDs following WIs. English language studies published between January 2010 and March 2016 were included. Study quality was assessed by using the Ottawa-Newcastle scale.

RESULTS

Eight studies investigating TMDs in patients with histories of WI were included. These studies reported associations between WIs and TMDs and an increase in symptom severity among patients with TMDs and a history of WIs. Additionally, patients with TMD and trauma histories display more severe subjective, objective, and psychological dysfunction compared with typical patients with TMDs. This results in poorer treatment outcomes.

CONCLUSIONS

These findings highlight the need for early evaluation of patients with WI for TMDs and for a multidisciplinary approach to their management.

摘要

目的

本研究的目的是进行一项综述，调查颞下颌关节紊乱病（TMDs）与挥鞭样损伤（WIs）之间的关系。

研究设计

作者检索了PubMed/Medline、Cochrane数据库和EMBASE，以查找讨论挥鞭样损伤后颞下颌关节紊乱病的患病率、发病率、严重程度、治疗和预后的研究。纳入了2010年1月至2016年3月发表的英文研究。使用渥太华-纽卡斯尔量表评估研究质量。

结果

纳入了八项调查有挥鞭样损伤病史患者的颞下颌关节紊乱病的研究。这些研究报告了挥鞭样损伤与颞下颌关节紊乱病之间的关联，以及有颞下颌关节紊乱病和挥鞭样损伤病史的患者症状严重程度增加。此外，与典型的颞下颌关节紊乱病患者相比，有颞下颌关节紊乱病和创伤史的患者表现出更严重的主观、客观和心理功能障碍。这导致治疗效果较差。