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髁突骨折后下颌肌肉变化的分析:一项系统综述

Analysis of Mandibular Muscle Variations Following Condylar Fractures: A Systematic Review.

作者信息

Inchingolo Francesco, Patano Assunta, Inchingolo Angelo Michele, Riccaldo Lilla, Morolla Roberta, Netti Anna, Azzollini Daniela, Inchingolo Alessio Danilo, Palermo Andrea, Lucchese Alessandra, Di Venere Daniela, Dipalma Gianna

机构信息

Department of Interdisciplinary Medicine, University of Bari "Aldo Moro", 70121 Bari, Italy.

College of Medicine and Dentistry, Birmingham B4 6BN, UK.

出版信息

J Clin Med. 2023 Sep 12;12(18):5925. doi: 10.3390/jcm12185925.

Abstract

UNLABELLED

This review analyzes muscle activity following mandibular condylar fracture (CF), with a focus on understanding the changes in masticatory muscles and temporomandibular joint (TMJ) functioning.

MATERIALS AND METHODS

The review was conducted following the preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines. A search was performed on online databases using the keywords "masticatory muscles" AND ("mandibular fracture" OR "condylar fracture"). The eligibility criteria included clinical trials involving human intervention and focusing on muscle activity following a condylar fracture.

RESULTS

A total of 13 relevant studies were reviewed. Various studies evaluated muscle activity using clinical evaluation, bite force measurement, electromyography (EMG), magnetic sensors and radiological examinations to assess the impact of mandibular fractures on masticatory muscles.

CONCLUSIONS

Mandibular condylar fractures can lead to significant changes in muscle activity, affecting mastication and TMJ functioning. EMG and computed tomography (CT) imaging play crucial roles in assessing muscle changes and adaptations following fractures, providing valuable information for treatment planning and post-fracture management. Further research is required to explore long-term outcomes and functional performance after oral motor rehabilitation in patients with facial fractures. Standardized classifications and treatment approaches may help improve the comparability of future studies in this field.

摘要

未标注

本综述分析下颌髁突骨折(CF)后的肌肉活动,重点在于了解咀嚼肌和颞下颌关节(TMJ)功能的变化。

材料与方法

本综述按照系统评价和Meta分析的首选报告项目(PRISMA)指南进行。使用关键词“咀嚼肌”以及(“下颌骨折”或“髁突骨折”)在在线数据库中进行检索。纳入标准包括涉及人类干预且聚焦于髁突骨折后肌肉活动的临床试验。

结果

共纳入13项相关研究。各项研究采用临床评估、咬合力测量、肌电图(EMG)、磁传感器和放射学检查等方法评估肌肉活动,以探讨下颌骨折对咀嚼肌的影响。

结论

下颌髁突骨折可导致肌肉活动发生显著变化,影响咀嚼和颞下颌关节功能。肌电图和计算机断层扫描(CT)成像在评估骨折后肌肉变化及适应性方面发挥着关键作用,为治疗方案制定和骨折后管理提供了有价值的信息。需要进一步研究以探索面部骨折患者口腔运动康复后的长期疗效和功能表现。标准化分类和治疗方法可能有助于提高该领域未来研究的可比性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75f9/10532393/47fbc7406bb2/jcm-12-05925-g001.jpg

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