ホルミウムヤグレーザーの顎関節鏡視下手術における臨床的有用性

概要

論文の詳細を見る
We have applied Holmium: YAG laser irradiation for TMJ arthroscopic surgery to treat TMJ internal derangement. Ten cases (eleven joints) were treated for unlocking jaw diagnosed as a nonreducing anteriorly displaced disc. Two cases (two joints) were treated by debridement of degenerative tissue of the TMJ. The average setting of the Holmium: YAG laser was approximately 0.8 J and 10 Hz. In this study, all cases satisfied our criteria for successful treatment. The results obtained by TMJ arthroscopic surgery using a Holmium: YAG laser were superior to those obtained by previous techniques for arthroscopic surgery using mechanical instruments such as a power shaver or an electric cautery. In addition it enabled all patients to be a more rapid recovery period and a faster return to normal daily activities.<BR>It is concluded that the Holmium: YAG laser system has the potential for becoming an effective and efficient modality for TMJ arthroscopic surgery.