Clinical Observation on the Referred Symptoms in Patients with Arthrosis of the Temporomandibular Joints
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概要
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Four hundred and eighty eight patients with TMJ arthrosis who visited our clinic between 1987 and 1990 were reviewed with respect to the symptoms excluding TMJ symptoms such as limited mouth opening, clicking or crepitus of the TMJ and pain in the TMJ and masticatory muscles (hereinafter called "Other Symptoms") in order to study the relationship between TMJ arthrosis and Other Symptoms. Other Symptoms were observed in 324 patients (66.4%). The most frequent symptom was stiffness or pain in the shoulder, and/or neck, followed by migraine, otalgia, pain in the eye, tinnitus and stuffy sensation in the ear. Other Symptoms were observed more frequently in female than in male patients. The frequency is higher in the patients with the masticatory muscles pain, and lower in the patients less than 20 years old. More than 90% of the patients had Other Symptoms in the same side of TMJ symptoms.Furthermore, in 90.5% of 105 cases whose clinical course of TMJ symptoms and Other Symptoms both could be followed up, the improvement of Other Symptoms was parallel with that of TMJ symptoms.It seems that Other Symptoms seemed to be referred symptoms with TMJ arthrosis, if the symptomatic side of Other Symptoms and that of TMJ arthrosis is ipsilateral, and the improvement of Other Symptoms is parallel with that of arthrosis in the treatment course.The questionnaire to 100 patients with TMJ arthrosis concerning Other Symptoms showed higher frequency than the previous data. Therefore, there is a possibility that clinicians may overlook Other Symptoms when interviewing to their patients, and patients may not complain of their Other Symptoms. Consequently, clinicians should have careful interview about Other Symptoms, paying attention to reference with TMJ arthrosis, and follow up the clinical course of both Other Symptoms and TMJ symptoms considering the necessity of transfer to professional clinics for Other Symptoms.
- 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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