[Cervical trauma in the pathogenesis of cranio-cervico-mandibular dysfunctions].
A sudden cervical extension-flexion (whiplash) can cause a temporomandibular pathology with a direct and indirect mechanism of action. A total of 24 patients of both sexes who had undergone acute cervical trauma, which had led to masticatory dysfunction of a meniscal or algomyo-facial type, were examined. The most frequent signs and symptoms were regional pain, a qualitative and quantitative change in movements, cephalea, and articular noise. A complete condylo-meniscal block was observed in three cases. Concomitant radiographic tests using a trans-cranial projection confirmed clinical findings. A multidisciplinary individual therapeutic approach ensured complete functional recovery; prognosis varied with regard to cephalalgia which is related to the individual's psycho-behavioural substrate. The paper stresses the importance of early diagnosis and targeted treatment in order to prevent symptoms from becoming chronic thus making the disorder a disability which is difficult to treat.
Capurso
U
U
I Facoltà di Medicina e Chirurgia, Scuola di Specializzazione in Ortognatodonzia, Università degli Studi di Napoli Federico II.
Perillo
L
L
Ferro
A
A
D000063:Accidents, Traffic; D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D002574:Cervical Vertebrae / Q000000981:diagnostic imaging / Q000293:injuries*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009049:Motorcycles; D011859:Radiography; D013704:Temporomandibular Joint / Q000000981:diagnostic imaging; D013706:Temporomandibular Joint Dysfunction Syndrome / Q000000981:diagnostic imaging / Q000209:etiology*; D014911:Whiplash Injuries / Q000150:complications / Q000000981:diagnostic imaging
Il trauma cervicale nella patogenesi delle disfunzioni cranio-cervico-mandibolari.