日本口腔診断学会雑誌
Online ISSN : 2188-2843
Print ISSN : 0914-9694
ISSN-L : 0914-9694
臨床報告
高齢障害者の習慣性顎関節脱臼に対する関節結節削除術症例
〜麻酔法と術式が術後認知機能障害(POCD)や術前後のADLの変化に与える影響についての文献考察的検討 第1報〜
松下 文彦内山 佳之薗田 直志大高 千明
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2019 年 32 巻 3 号 p. 209-215

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Habitual luxation of the temporomandibular joint is often seen in elderly patients with dementia, cerebrovascular and neurological diseases. Even if it is difficult to manage with conservative treatment, surgical treatment under general anesthesia is often avoided because of underlying diseases, ADL, concern for postoperative delirium and postoperative cognitive dysfunction (POCD).
The purpose of this study was to evaluate the efficiency of eminectomy under local anesthesia and intravenous conscious sedation in patients with habitual luxation of the temporomandibular joint, who suffered dementia, neurological and cerebral diseases, in addition to a literature review of the effects of this method on POCD and changes in ADL before and after surgery.
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