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The purpose of this study was to evaluate the efficacy and safety of arthroscopic synovectomy in rheumatoid arthritis of the temporomandibular joint (TMJ) utilizing Holmium: YAG laser irradiation, which is a minimally invasive surgical procedure.The patient was a 24-year-old female who had rheumatism and complained of pain upon mouth opening. X-ray findings showed the surface erosion of the mandibular head. MRI findings showed joint effusion and anterior displacement of the disc without reduction. The patient had been treated nonsurgically prior to arthroscopic surgery without success.Holmium: YAG laser irradiation was used for synovectomy. Total energy was 8.78kJ. The patient had less pain and greater jaw mobility after operation. Surgical complication wasn't encountered.Holmium: YAG laser irradiation in rheumatoid arthritis of the TMJ was considered to be a safe, effective procedure of arthroscopic synovectomy.
- 一般社団法人 日本顎関節学会の論文
一般社団法人 日本顎関節学会 | 論文
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