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dc.contributor.authorStassen, Leo
dc.date.accessioned2020-03-07T14:45:13Z
dc.date.available2020-03-07T14:45:13Z
dc.date.issued2020en
dc.date.submitted2020en
dc.identifier.citationLeo Stassen, 'Is Eminectomy Effective in the Management of Chronic Closed Lock?', 2020, Journal of Maxillofacial and Oral Surgery;, 19;, 1;en
dc.identifier.otherY
dc.identifier.otherhttps://doi.org/10.1007/s12663-019-01216-x
dc.identifier.urihttp://hdl.handle.net/2262/91729
dc.descriptionPUBLISHEDen
dc.description.abstractPurpose: This study assesses the effectiveness of eminectomy in the management of chronic closed lock, refractory to conservative medical management in the largest multicentred study of its kind in the UK, with a cohort of 167 patients. Temporomandibular mandibular joint disorder affects 30% of adults in the UK. Chronic closed lock is a well-documented sub-type. Method: A retrospective study of patients with refractory closed lock was carried out, where conservative management had been implemented for a minimum of 6 months. Refractory patients were offered eminectomy at three separate centres over a period from 1995 to 2011. The primary variable was the inter-incisal distance (IID). Other variables included pain, clicking and nerve damage preand post-operatively. Results: There were 167 patients across all three centres, 81% of which were female. The mean IID was 23 mm preoperatively and 37 mm post-operatively. There was a statistically significant association with the primary predictor variable, yielding a p value of \ 0.05. Clicking resolved completely post-operatively in 84 patients (58%). Pain subjectively improved in 56% cases. Conclusion: Eminectomy is a safe and effective surgical procedure and has a role to play as a second-line surgicaloption in the management of closed lock after more conservative medical options have failed. Conclusion Eminectomy is a safe and effective surgical procedure and has a role to play as a second-line surgicalen
dc.format.extent67en
dc.format.extent73en
dc.language.isoenen
dc.relation.ispartofseriesJournal of Maxillofacial and Oral Surgery;
dc.relation.ispartofseries19;
dc.relation.ispartofseries1;
dc.rightsYen
dc.subjectTemporomandibular jointen
dc.subjectTemporomandibular joint dysfunctionen
dc.subjectClosed locken
dc.subjectEminectomyen
dc.titleIs Eminectomy Effective in the Management of Chronic Closed Lock?en
dc.typeJournal Articleen
dc.type.supercollectionscholarly_publicationsen
dc.type.supercollectionrefereed_publicationsen
dc.identifier.peoplefinderurlhttp://people.tcd.ie/stassenl
dc.identifier.rssinternalid214725
dc.rights.ecaccessrightsopenAccess
dc.identifier.orcid_id0000-0002-9232-754X


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