Turkiye Klinikleri Journal of Dental Sciences

.: ORIGINAL RESEARCH
Temporomandibular Eklem Disfonksiyonlu Hastalarda Servikal Disk Hernisi Görülme Sıklığının Değerlendirilmesi
Evaluation of the Frequency of Cervical Disc Herniation in Patients with Temporomandibular Joint Dysfunction
Ahmet Taylan ÇEBİa
aKarabük Üniversitesi Diş Hekimliği Fakültesi, Ağız, Diş ve Çene Cerrahisi ABD, Karabük, TÜRKİYE
Turkiye Klinikleri J Dental Sci. 2020;26(3):318-22
doi: 10.5336/dentalsci.2019-72434
Article Language: TR
Full Text
ÖZET
 Amaç: Bu araştırma, temporomandibular eklem disfonksiyonu (TMED) olanlarda servikal disk hernisi (SDH) görülme sıklığını belirlemek amacıyla yapılmıştır. Gereç ve Yöntemler: Araştırmanın evrenini, Aralık 2016-Temmuz 2019 tarihleri arasında ağız, diş ve çene cerrahisi ana bilim dalına temporomandibular eklem problemi ile başvuran 328 hasta, örneklemini ise TMED ve SDH teşhisi koyulmuş 35 hasta oluşturmuştur. Temporomandibular ekleme yönelik klinik ve radyolojik muayeneler, tek bir hekim tarafından yapılmıştır. TMED teşhisi koyulurken, klinik olarak temporomandibular rahatsızlıklar/teşhis kriterleri eksen I (TMR/TK eksen I)'den, radyolojik incelemede ise manyetik rezonans görüntülemeden yararlanılmıştır. SDH tanısı ise ilgili uzman hekim tarafından, klinik ve radyolojik incelemeler sonucunda koyulmuştur. TMED ve SDH'ye sahip hastalar yaş, cinsiyet ve disfonksiyon türüne göre gruplandırılmış ve dağılımı belirlenmiştir. Bulgular: Çalışmaya dâhil edilen hastaların yaş ortalamaları 49,74±9,14 olarak bulunmuştur. TMED'si olan total hasta grubunda servikal disk hernisi görülme insidansı %10,67 olarak bulunmuştur. Cinsiyet-disfonksiyon türü (p=0,032) ve SDH-disfonksiyon türü (p=0,028) arasında istatistiksel olarak anlamlı bir fark tespit edilmiştir (p0,05). Sonuç: Bu çalışma sonucunda, TMED'si olan bireylerde SDH görülme sıklığı oransal olarak ortaya koyulmuştur. TMED'li hastalarda servikal patolojilerin ve SDH'nin varlığının sorgulanması, ayrıntılı bir şekilde değerlendirilmesi ve çok yönlü tedavinin planlanması yararlı olabilir. Ayrıca TME ve servikal bölge arasındaki etkileşimin, sadece kas yapılarını değil hem kas hem de kemik yapıları da içerebileceği unutulmamalıdır.

Anahtar Kelimeler: Temporomandibular eklem disfonksiyon sendromu; temporomandibular eklem; servikal vertebra; herni; insidans
ABSTRACT
 Objective: This study was conducted to determine the incidence of cervical disc herniation (CDH) in patients with temporomandibular joint dysfunction (TMJD). Material and Methods: The population of the study consisted of 328 patients who presented to the department of oral and maxillofacial surgery between December 2016- July 2019 with temporomandibular joint problems, and the sample consisted of the study consisted of 35 patients with TMJD and CDH. Clinical and radiological examinations for temporomandibular joint were performed by a single physician. When TMJD was diagnosed, temporomandibular disorders/diagnostic criteria axis I (TMR/TK axis I) were used clinically and magnetic resonance imaging was used in radiological examination. The diagnosis of CDH was made by the specialist physician after clinical and radiological examinations. The patients with TMJD and CDH were grouped according to age, sex and type of dysfunction and their distribution were determined. Results: The mean age of the patients included in the study was found to be 49.74±9.14. The incidence of cervical disc hernia was 10.67% in the total patient group with TMJD. A statistically significant difference was found between gender-dysfunction type (p=0.032) and CDH-dysfunction type (p=0.028, p0.05). Conclusion: As a result of this study, the incidence of CDH in individuals with TMJD was determined proportionally. It may be useful to question the presence of cervical pathologies and CDH in patients with TMJD, to evaluate in detail and to plan multidirectional treatment. In addition, it should be noted that the interaction between TMJ and cervical region may include not only muscle structures but also muscle and bone structures

Keywords: Temporomandibular joint dysfunction syndrome; temporomandibular joint; cervical vertebrae; hernia; incidence
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