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Discectomies: A Short-Term Retrospective Study
Umeå University, Faculty of Medicine, Department of Odontology.
2019 (English)In: Journal Of Otolaryngology: Research, Vol. 2, no 2, p. 1-9, article id 130Article in journal (Refereed) Published
Abstract [en]

Objective: To retrospectively analyze the outcome of patients operated with discectomy and to compare the short-term results to results in the available literature.

Materials and method: Patients who underwent discectomy at the Department of Oral and Maxillofacial Surgery, Umeå University hospital in Sweden, between 1988 and 1998 were included (n=64). Mean age: 37 years. 55 were women and 9 were men. 48 patients underwent unilateral surgery and 16 patients underwent bilateralsurgery (14 women/2 men), totally 80 individual discectomies.

Results: Six months after the surgery, 70 % of the patients reported no pain from the Temporomandibular Joint (TMJ) area, compared to 10 % pre-surgery (P-value <0.001). Mean opening increased from 36,7 mm before surgery to 41,8 mm aftersurgery (P-value = 0.001). TMJ crepitation was found in 36 % of the joints beforesurgery respectively 34 % of the joints six months after surgery (P-value = 0.125). TMJ clicking was found in 43 % joints before surgery and in 6 % after surgery (Pvalue< 0.001). Locking occurred in 59 % of the TMJ prior to surgery and in 11 %after surgery (P-value < 0.001).

Conclusion: Surgical removal of the disc in the temporomandibular joint reduces painand increases mouth opening. The result from our study is consistent with other studies and recognizes discectomy as an effective treatment of persistent pain and/or limitation of mouth opening.

Place, publisher, year, edition, pages
Scientific Literature , 2019. Vol. 2, no 2, p. 1-9, article id 130
Keywords [en]
TMJ Discectomy TMD Symptoms Short term results
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:umu:diva-166795OAI: oai:DiVA.org:umu-166795DiVA, id: diva2:1382216
Available from: 2020-01-02 Created: 2020-01-02 Last updated: 2020-01-07Bibliographically approved

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