Asunto(s)
Aborto Legal , Actitud del Personal de Salud , Médicos , Adulto , Femenino , Humanos , Louisiana , Masculino , Persona de Mediana Edad , EmbarazoRESUMEN
Temporomandibular joint arthroscopic surgery was performed on 86 human joints with a holmium yttrium aluminum garnet (YAG) laser (Coherent, Palo Alto, CA) passed through a quartz fiber. The wattage and number of pulses needed for tissue response, the temperature produced, and the average time needed for this surgery are presented. Holmium laser technology applied to the temporomandibular joint appears to be an effective, safe, and efficient modality.
Asunto(s)
Luxaciones Articulares/cirugía , Terapia por Láser , Trastornos de la Articulación Temporomandibular/cirugía , Artroscopía , Cartílago Articular/cirugía , Holmio , Humanos , Osteoartritis/cirugíaRESUMEN
Four health outcomes (range of motion, pain, diet, and disability) were measured in six diagnostic categories (internal derangement with closed lock, internal derangement with painful click, osteoarthritis, hypermobility, fibrous ankylosis, and arthralgia) in a 6-year retrospective multicenter study of 4,831 temporomandibular joints having undergone arthroscopic surgery. After arthroscopic surgery, 91.6% of all patients had good or excellent motion; 91.3% had good or excellent pain reduction; 90.6% had good or excellent ability to maintain a normal diet; and 92% had a good or excellent reduction in disability. These health outcomes compare favorably with all other known treatments for these conditions. Also, the surgical technique was relatively free of complications (4.4%).