Superficial cervical plexus block on pain control in patients with temporomandibular joint internal derangement with headache: a retrospective cohort study

dc.authorscopusid57218482058
dc.authorscopusid9274969400
dc.authorscopusid41661970900
dc.contributor.authorYilmaz, Zeynep Cukurova
dc.contributor.authorGuler, Nurhan
dc.contributor.authorNoyan, Adnan
dc.date.accessioned2024-05-25T11:25:17Z
dc.date.available2024-05-25T11:25:17Z
dc.date.issued2022
dc.departmentOkan Universityen_US
dc.department-temp[Yilmaz, Zeynep Cukurova] Istanbul Medipol Univ, Sch Dent, Dept Oral & Maxillofacial Surg, Istanbul, Turkey; [Guler, Nurhan] Yeditepe Univ, Fac Dent, Dept Oral & Maxillofacial Surg, Istanbul, Turkey; [Noyan, Adnan] Okan Univ, Istanbul, Turkeyen_US
dc.description.abstractObjectives: Temporomandibular disorders (TMDs) are a group of disorders with varied pathophysiology and clinical manifestations. Masticatory and cervical motor systems have a functional relationship. Superficial cervical muscles have greater hyperactivity in myogenous and mixed TMDs than in healthy individuals, demonstrating an abnormal pattern of contraction. This study aimed to demonstrate the effects of superficial cervical plexus block (SCPB) anesthesia during arthrocentesis in patients with temporomandibular joint (TMJ) internal derangement and headache. Method and materials: This retrospective cohort study included 2 men and 23 women with cervicogenic headache and TMJ internal derangement treated by arthrocentesis, and 40 TMJs with established cervicogenic headaches. The average follow-up period was 9.36 +/- 2.679 months. TMJ and muscle pain during mastication, maximum and non -assisted mouth opening, and lateral excursion were recorded. Pain and dysfunction were determined using the visual analog scale. Patients were monitored before, during, and after arthrocentesis while inducing SCPB anesthesia, and vital findings were recorded. In addition, skin surface temperature was measured. Results: Patients experienced a significant in- crease in their clinical values. Changes in non -assisted mouth opening (mean from 29.65 +/- 6.31 to 33.3 +/- 5.21 mm) (P < .05), assisted mouth opening (mean from 38.98 +/- 7.62 to 43.35 +/- 6.17 mm), right excursions (mean from 7.28 +/- 2.08 to 9.13 +/- 1.86 mm), and left excursions (mean from 7.48 +/- 1.71 to 8.90 +/- 1.82 mm) were statistically significant (P < .05). Patients were relieved after SCPB, resulting in decreased pain and hemodynamic values. Increase in mean temperature after SCPB was statistically significant (P = .002, P < .05). Conclusion: This study presents a straightforward novel protocol, clinically efficient for arthrocentesis on pain control in patients with TMJ internal derangement and cervicogenic headache.en_US
dc.identifier.citation0
dc.identifier.doi10.3290/j.qi.b2793235
dc.identifier.endpage521en_US
dc.identifier.issn0033-6572
dc.identifier.issn1936-7163
dc.identifier.issue6en_US
dc.identifier.pmid35274514
dc.identifier.scopus2-s2.0-85129999145
dc.identifier.scopusqualityQ2
dc.identifier.startpage512en_US
dc.identifier.urihttps://doi.org/10.3290/j.qi.b2793235
dc.identifier.urihttps://hdl.handle.net/20.500.14517/877
dc.identifier.volume53en_US
dc.identifier.wosWOS:000850127200006
dc.identifier.wosqualityQ4
dc.language.isoenen_US
dc.publisherQuintessence Publishing Co incen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectarthrocentesisen_US
dc.subjectcervicogenic headacheen_US
dc.subjectpainen_US
dc.subjectsuperficial cervical plexus blockageen_US
dc.subjecttemporomandibular internal derangementen_US
dc.titleSuperficial cervical plexus block on pain control in patients with temporomandibular joint internal derangement with headache: a retrospective cohort studyen_US
dc.typeArticleen_US
dspace.entity.typePublication

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