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耳颞神经麻醉对咬肌静息期的影响。

Influence of auriculotemporal nerve anaesthesia on the masseteric silent period.

作者信息

Smith D M, Ziter W D, Mohl N D, McCall W D

出版信息

J Oral Rehabil. 1983 May;10(3):251-6. doi: 10.1111/j.1365-2842.1983.tb00118.x.

Abstract

Silent periods were evoked from the masseter muscles bilaterally in response to chin taps during a clench. Injection of 0.75 ml of 3% Mepivicaine posteromedial to each condyle led to a distribution of skin anaesthesia consistent with the distribution of the auriculotemporal nerve. Silent periods were evoked prior to and during anaesthesia in ten subjects. The silent period latencies (mean +/- standard deviation) prior to anaesthesia were 12.5 +/- 1.8 ms and 11.9 +/- 2.5 ms in the right and left masseters. During anaesthesia the latency decreased by 0.3 +/- 1.3 ms in the right masseter and by 0.3 +/- 2.1 ms on the left masseter. Neither change was statistically significant (P greater than 0.05). The silent period durations prior to anaesthesia were 20.3 +/- 4.0 ms and +/- 22.8 +/- 7.1 ms in the right and left masseters. During anaesthesia, these decreased by 2.74 +/- 5.8 ms on the right and 2.15 +/- 4.4 ms on the left. These decreases were not statistically significant (P greater than 0.05). These results failed to demonstrate an influence of the predominant nerve supply of the TMJ on either the latency or the duration of the masseteric silent period.

摘要

在咬紧牙关时,对双侧颏部进行轻叩,可诱发咬肌双侧出现静息期。在每个髁突后内侧注射0.75 ml 3%的甲哌卡因,导致皮肤麻醉分布与耳颞神经分布一致。10名受试者在麻醉前及麻醉期间均诱发了静息期。麻醉前右侧和左侧咬肌的静息期潜伏期(平均值±标准差)分别为12.5±1.8 ms和11.9±2.5 ms。麻醉期间,右侧咬肌潜伏期缩短0.3±1.3 ms,左侧咬肌缩短0.3±2.1 ms。两者变化均无统计学意义(P>0.05)。麻醉前右侧和左侧咬肌的静息期时长分别为20.3±4.0 ms和22.8±7.1 ms。麻醉期间,右侧缩短2.74±5.8 ms,左侧缩短2.15±4.4 ms。这些缩短均无统计学意义(P>0.05)。这些结果未能证明颞下颌关节主要神经支配对咬肌静息期潜伏期或时长有影响。

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