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光生物调节疗法改善Kindler综合征患者生活质量:一项病例研究

Photobiomodulation Therapy in Improving Quality of Life in Kindler Syndrome: A Case Study.

作者信息

Khatoon Farha, Surendraprasad Mishra Sunil, Shailesh Sawant Vaishnavi, Anand Chavan Anupama

机构信息

Department of Oral Medicine and Radiology, Dr. D. Y. Patil Dental College and Hospital, Dr. D. Y. Patil Vidyapeeth, Pimpri, Pune.

出版信息

J Lasers Med Sci. 2025 Jan 18;16:e2. doi: 10.34172/jlms.2025.02. eCollection 2025.

Abstract

Kindler syndrome (KS) is a rare genetic disorder characterized by skin fragility, acral blister formation, diffuse cutaneous atrophy, photosensitivity, palmoplantar hyperkeratosis, pseudosyndactyly, and alopecia. Oral manifestations include limited mouth opening, which adversely affects oral hygiene, chewing, and swallowing, significantly impacting the quality of life of affected individuals. A 26-year-old male with KS was referred for the management of reduced mouth opening, presenting with an interincisal distance of 19 mm. This was a critical concern for facilitating prosthetic rehabilitation. The patient underwent Photobiomodulation (PBM) therapy as a non-invasive treatment modality aimed at improving trismus. Following PBM therapy, the patient's mouth opening improved significantly from 19 mm to 23 mm. This enhancement allowed for the initiation of prosthetic rehabilitation. PBM therapy is a promising treatment for managing trismus in KS by breaking down abnormal collagen deposits and reducing collagen synthesis, effectively addressing the underlying pathology. It offers significant improvements in mouth opening, which can enhance oral hygiene, nutritional intake, and overall quality of life. This non-invasive approach provides a viable option for patients with KS who require prosthetic rehabilitation.

摘要

金德勒综合征(KS)是一种罕见的遗传性疾病,其特征为皮肤脆弱、肢端水疱形成、弥漫性皮肤萎缩、光敏性、掌跖角化过度、假性并指以及脱发。口腔表现包括张口受限,这会对口腔卫生、咀嚼和吞咽产生不利影响,严重影响患者的生活质量。一名26岁患有KS的男性因张口受限前来就诊,其切牙间距离为19毫米。这对于促进修复性康复是一个关键问题。该患者接受了光生物调节(PBM)治疗,这是一种旨在改善牙关紧闭的非侵入性治疗方式。经过PBM治疗后,患者的张口度从19毫米显著改善至23毫米。这种改善使得能够开始进行修复性康复。PBM治疗是一种有前景的治疗KS患者牙关紧闭的方法,它通过分解异常的胶原沉积物并减少胶原蛋白合成,有效解决潜在的病理问题。它能显著改善张口度,从而增强口腔卫生、营养摄入和整体生活质量。这种非侵入性方法为需要修复性康复的KS患者提供了一种可行的选择。

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