Ibrahim Mohammed, Mansuri Samir, Kumar Pradeep, Gupta Brajesh, Mundada Yogita, Tyro David, Somaraj Vinej
Department of Oral and Maxillofacial Surgery, College of Dentistry, King Khalid University, Abha, Kingdom of Saudi Arabia.
Consultant OMFS, Ahmedabad, Gujrat, India.
J Pharm Bioallied Sci. 2024 Jul;16(Suppl 3):S2452-S2454. doi: 10.4103/jpbs.jpbs_302_24. Epub 2024 Jul 31.
The purpose of this research is to evaluate patient satisfaction and long-term consequences after temporomandibular joint (TMJ) disc replacement surgery in a tertiary care environment.
500 patients who had TMJ disc replacement surgery at a tertiary care facility between 2010 and 2015 were the subject of a retrospective investigation. Pre-operative clinical features, demographic information, and intraoperative information were gathered. Standardized measurements were used to evaluate functional results, pain levels, and patient-reported outcomes. Descriptive statistics, paired t-tests, and significance set at < 0.05 were all used in the statistical analysis.
There were notable improvements in functional outcomes, with a mean increase in lateral excursion from 8.7 mm to 12.6 mm ( < 0.001) and maximal incisal opening from 30.5 mm to 40.2 mm ( < 0.001). The pain level was found to have greatly diminished, as evidenced by the VAS scores falling from 7.8 to 3.2 ( < 0.001). The Jaw Function Limitation Scale scores (42.6 to 21.8, < 0.001) and patient-reported outcome measures scores (58.3 to 76.5, < 0.001) exhibited significant increases in patient-reported outcomes.
In conclusion, tertiary care TMJ disc replacement surgery shows positive long-term outcomes, such as enhanced jaw function, less discomfort, and high patient satisfaction. This research supports the ongoing use of TMJ disc replacement surgery as a potential therapy for refractory TMJ disease, although noting its limitations.
本研究的目的是评估在三级医疗环境中颞下颌关节（TMJ）盘置换手术后的患者满意度和长期后果。
对2010年至2015年期间在一家三级医疗机构接受TMJ盘置换手术的500名患者进行回顾性调查。收集术前临床特征、人口统计学信息和术中信息。使用标准化测量来评估功能结果、疼痛程度和患者报告的结局。统计分析采用描述性统计、配对t检验，显著性水平设定为<0.05。
功能结果有显著改善，侧向运动平均增加从8.7毫米至12.6毫米（<0.001），最大切牙开口从30.5毫米至40.2毫米（<0.001）。疼痛程度显著减轻，视觉模拟评分（VAS）从7.8降至3.2（<0.001）即可证明。下颌功能受限量表评分（从42.6降至21.8，<0.001）和患者报告的结局测量评分（从58.3升至76.5，<0.001）显示患者报告的结局有显著改善。
总之，三级医疗TMJ盘置换手术显示出积极的长期结果，如增强的下颌功能、更少的不适和高患者满意度。本研究支持持续将TMJ盘置换手术用作难治性TMJ疾病的潜在治疗方法，尽管指出了其局限性。
