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

dc.authorscopusid 57218482058
dc.authorscopusid 9274969400
dc.authorscopusid 41661970900
dc.contributor.author Yilmaz, Zeynep Cukurova
dc.contributor.author Guler, Nurhan
dc.contributor.author Noyan, Adnan
dc.date.accessioned 2024-05-25T11:25:17Z
dc.date.available 2024-05-25T11:25:17Z
dc.date.issued 2022
dc.department Okan University en_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, Turkey en_US
dc.description.abstract Objectives: 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.citationcount 0
dc.identifier.doi 10.3290/j.qi.b2793235
dc.identifier.endpage 521 en_US
dc.identifier.issn 0033-6572
dc.identifier.issn 1936-7163
dc.identifier.issue 6 en_US
dc.identifier.pmid 35274514
dc.identifier.scopus 2-s2.0-85129999145
dc.identifier.scopusquality Q2
dc.identifier.startpage 512 en_US
dc.identifier.uri https://doi.org/10.3290/j.qi.b2793235
dc.identifier.uri https://hdl.handle.net/20.500.14517/877
dc.identifier.volume 53 en_US
dc.identifier.wos WOS:000850127200006
dc.identifier.wosquality Q4
dc.language.iso en
dc.publisher Quintessence Publishing Co inc en_US
dc.relation.publicationcategory Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı en_US
dc.rights info:eu-repo/semantics/closedAccess en_US
dc.scopus.citedbyCount 0
dc.subject arthrocentesis en_US
dc.subject cervicogenic headache en_US
dc.subject pain en_US
dc.subject superficial cervical plexus blockage en_US
dc.subject temporomandibular internal derangement en_US
dc.title Superficial cervical plexus block on pain control in patients with temporomandibular joint internal derangement with headache: a retrospective cohort study en_US
dc.type Article en_US
dc.wos.citedbyCount 0

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