Fibromyalgia Is Not a Predictor Variable for a Successful Outcome Following Surgical Correction of Internal Derangement of the Temporomandibular Joint

作者：Thorp Jacob N^*; Ritzline Pamela D

来源：Journal of Oral and Maxillofacial Surgery, 2011, 69(1): 19-27.

DOI：10.1016/j.joms.2010.07.027

Purpose: The purpose of this study was to compare surgical outcomes of subjects with and without fibromyalgia using a logistic regression model.
Materials and Methods: This study was a retrospective chart review of 28 subjects who underwent surgery to correct internal derangement of the temporomandibular joint. Subjects were classified as having a successful or an unsuccessful outcome based on a verbal rating scale, diet restrictions, and maximum mouth opening (MMO). Data were recorded from 3 different assessments (preoperative, 6 weeks after surgery, and 3 to 5 months after surgery).
Results: No significant difference was noted in outcomes between subjects with and without fibromyalgia (P = .61). The 4 significant predictor variables for surgical success were MMO before surgery, MMO and verbal rating scale scores at 6-week examination, and type of surgery.
Conclusions: A comorbidity of fibromyalgia was not a predictor for successful outcomes. Predictors of successful outcomes included subjects with a large MMO (>= 38 mm) and a low verbal rating scale score (<= 2) at 6 weeks.
This is a US government work. There are no restrictions on its use. Published by Elsevier Inc on behalf of the American Association of Oral and Maxillofacial Surgeons. J Oral Maxillofac Surg 69:19-27, 2011

• 出版日期2011-1