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A prospective assessment of outcomes following the use of autologous blood for the management of recurrent temporomandibular joint dislocation

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Abstract

Purpose

The objective of the study was to compare results of treatment for chronic recurrent temporomandibular joint dislocation (CRTMD) by autologous blood injection (ABI) using two different methods of administration (combination intra- and peri-articular, and peri-articular alone).

Materials and methods

Forty patients diagnosed with CRTMD were randomly divided into two groups of 20 each (A and B). Group A were treated by intra- and peri-articular blood injection, group B were treated by peri-articular injection alone. The follow-up was done at 1, 3, 6, and 12 months. The study assessed presence of dislocations, pain (VAS, 0–10), interincisal mouth opening (IMO), and the presence of sound phenomena. The treatment was considered successful in patients without the persistence of CRTMD symptoms, as well as with a VAS of 0–1.

Result

After 12 months, a beneficial therapeutic effect in group B was seen in 11 patients, while 16 patients from group A had a therapeutic effect.

Conclusion

Intra- and peri-articular ABI is more effective than peri-articular blood application alone in the treatment of CRTMD, although the difference was not statistically significant.

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Authors and Affiliations

  1. Department of Oral and Maxillofacial Surgery, General University Hospital, U Nemocnice 2, 120 00, Prague, Czech Republic

    Vladimir Machon, Jitka Levorova, Marcin Wisniewski, Milan Drahos & Rene Foltan

  2. Department of Oral and Maxillofacial Surgery, Faculty Hospital Bratislava-Ruzinov, Bratislava, Slovakia

    Dusan Hirjak

  3. Queens Medical Centre, Nottingham, UK

    Andrew Sidebottom

Authors
  1. Vladimir Machon
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  2. Jitka Levorova
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  3. Dusan Hirjak
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  4. Marcin Wisniewski
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  5. Milan Drahos
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  6. Andrew Sidebottom
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  7. Rene Foltan
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Correspondence to Vladimir Machon.

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The authors declare that they have no conflict of interest.

Ethical approval

Ethical approval: 75/2015 FN Ruzinov.

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Patient permission was obtained.

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Machon, V., Levorova, J., Hirjak, D. et al. A prospective assessment of outcomes following the use of autologous blood for the management of recurrent temporomandibular joint dislocation. Oral Maxillofac Surg 22, 53–57 (2018). https://doi.org/10.1007/s10006-017-0666-6

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  • DOI: https://doi.org/10.1007/s10006-017-0666-6

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