Full-time rehabilitation nursing in arthroscopic discopexy for anterior disc displacement with perforation of temporomandibular joint

doi:10.19438/j.cjoms.2020.06.012

Abstract

Abstract: PURPOSE: To introduce and evaluate the effect of full-time rehabilitation nursing in arthroscopic discopexy for patients of anterior disc displacement with perforation in temporomandibular joint(TMJ). METHODS: A retrospective study from January 2017 to December 2018 was made on patients (anterior disc displacement with perforation) who were treated by arthroscopic discopexy combined with full-time rehabilitation nursing intervention. The values of clinical parameters including visual analogue scale (VAS) for pain and maximum inter-incisal opening (MIO) were compared pre- and post- operatively. The results were analyzed by paired t test with SPSS 24.0 software package. RESULTS: A total of 54 patients met the inclusion criteria in this study. With the intervention of whole course rehabilitation nursing intervention, all patients presented with good cooperation and high compliance, and no patient was lost to follow-up. Meanwhile, all patients finished the postoperative mouth opening training and jaw pad treatment. During the follow-up of 6 months, the mean value of MIO increased from (31.76± 7.40) mm (before treatment) to (35.24± 6.22) mm (P=0.001) and the mean score of VAS decreased from 3.13± 2.76 to 0.96± 1.26(P=0.04). CONCLUSIONS: Full-time rehabilitation nursing provides a more comprehensive and individualized intervention, which effectively enhances the treatment of arthroscopic discopexy for patients of anterior disc displacement with perforation in TMJ by improving mouth opening, and relieving pain.

Key words: Full-time rehabilitation nursing, Anterior disc displacement, Perforation of articular disc, Temporomandibular arthroscopy

CLC Number:

R782.6

YUN Bai, YU Lei-lei, LUO Yi. Full-time rehabilitation nursing in arthroscopic discopexy for anterior disc displacement with perforation of temporomandibular joint[J]. China Journal of Oral and Maxillofacial Surgery, 2020, 18(6): 531-534.

References

[1] Ateshian GA.The role of interstitial fluid pressurization in articular cartilage lubrication[J].J Biomech, 2009, 42(9): 1163-1176.
[2] Palla S, Gallo LM, Gössi D.Dynamic stereometry of the temporomandibular joint[J]. Orthod Craniofac Res, 2003, 6(Suppl 1): 37-47.
[3] Tanaka E, Dalla-Bona DA, Iwabe T, et al.The effect of removal of the disc on the friction in the temporomandibular joint[J].J Oral Maxillofac Surg, 2006, 64(8): 1221-1224.
[4] Rammelsberg P, Pospiech PR, Jäger L, et al.Variability of disk position in asymptomatic volunteers and patients with internal derangements of the TM[J][J]. Oral Surg Oral Med O,1997,83(3): 393-399.
[5] 杨驰. 颞下颌关节镜外科[J].中华口腔医学杂志,2002,37(4): 306-308.
[6] 龚中坚, 殷治国. 手术治疗颞下颌关节盘移位的近期疗效观察[J].上海口腔医学, 2010, 19(6): 579-581.
[7] 李翠兰,周莉莉,龙巧安.颞颌关节内窥镜术患者的临床护理[J].中华护理杂志, 1998, 33(5): 273-274.
[8] 郑艳,张建梅. 护理干预对骨折患者疼痛及睡眠质量的影响[J].齐齐哈尔医学院学报, 2011, 32(12): 1997-1998.
[9] 江琴华, 周爱国, 恽白. 颞下颌关节镜术后应用被动张口运动器患者的护理[J].上海护理, 2005, 5(1): 38-39.
[10] Foletti JM, Cheynet F, Graillon N, et al.TMJ arthroscopy. A review[J]. Rev Stomatol Chir Maxillofac Chir Orale, 2016, 117(4): 273-279.
[11] 石文蓉, 高侠, 何丽娜. 个体化康复护理在肩关节镜手术患者中的应用效果[J].实用临床护理学电子杂志, 2018, 3(33): 87-88.
[12] 恽白, 江琴华, 唐明君. 颞下颌关节镜手术患者的围手术期护理[J].上海护理, 2004, 4(4): 9-10.
[13] Chantaracherd P, John MT, Hodges JS, et al.Temporomandibular joint disorders' impact on pain, function, and disability[J]. J Dent Res,2015,94(3 Suppl): 79S-86S.