颞下颌创伤及对个人评价的思考。

IF 1.5 4区 医学 Q2 MEDICINE, LEGAL Forensic Science, Medicine and Pathology Pub Date : 2024-12-01 Epub Date: 2023-11-21 DOI:10.1007/s12024-023-00745-9
Ana Corte-Real, João Abreu, José Pedro Figueiredo, Tiago Nunes
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引用次数: 0

摘要

国际联盟网络/口腔面部疼痛特别兴趣小组专注于颞下颌疾病诊断程序指南作为这一范围的参考。关于这一参考文献,本研究的目的是全面分析欧洲和美国的人身伤害方法中的伤害和后遗症框架。采用中断时间序列设计,对医学-法律评估数据库中的葡萄牙口面部创伤病例进行了准实验性试点研究。临床资料按照5个TMJ诊断标准(颌开度、疼痛、解剖缺陷、功能缺陷、临床声音、咬合缺陷)按3个严重程度进行记录。所有标准的损伤框架评估均记录在一级阶段。作为后遗症的疼痛,在45%的样本中作为自发(20%)或刺激(25%)存在的标准。颞下颌外伤损伤评估强调准确的损伤诊断和后遗症框架。口面部创伤分析应侧重于纳入或排除TMD诊断。考虑到TMD及其分类和影响,建议修订人身伤害参考表。
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Temporomandibular trauma and reflections on personal evaluation.

The International Consortium Network/Orofacial Pain Special Interest Group focuses on temporomandibular disease diagnosis procedure guidelines as a reference iQAn this scope. Concerning this reference, the aim of this study was to comprehensively analyze injury and sequela frames within European and American approaches to personal damage. A quasiexperimental pilot study of Portuguese orofacial trauma cases in a medico-legal evaluation database was performed with an interrupted time series design. The clinical data were recorded following five criteria of TMJ diagnosis (jaw opening, pain, anatomical deficit, functional deficit, clinical sounds, and occlusal deficit) under three degrees of severity. The injury frame evaluation was recorded in the first-degree stage in all criteria. Pain, as a sequela, was the criterion present in 45% of the sample as spontaneous (20%) or stimulated (25%). Temporomandibular trauma damage evaluation emphasizes the accurate injury diagnosis and sequela framework. Orofacial trauma analysis should focus on the inclusion or exclusion of a TMD diagnosis. This study suggests revising the reference tables on personal damage, considering the inclusion of TMD and its categorization and impact.

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来源期刊
Forensic Science, Medicine and Pathology
Forensic Science, Medicine and Pathology MEDICINE, LEGAL-PATHOLOGY
CiteScore
3.90
自引率
5.60%
发文量
114
审稿时长
6-12 weeks
期刊介绍: Forensic Science, Medicine and Pathology encompasses all aspects of modern day forensics, equally applying to children or adults, either living or the deceased. This includes forensic science, medicine, nursing, and pathology, as well as toxicology, human identification, mass disasters/mass war graves, profiling, imaging, policing, wound assessment, sexual assault, anthropology, archeology, forensic search, entomology, botany, biology, veterinary pathology, and DNA. Forensic Science, Medicine, and Pathology presents a balance of forensic research and reviews from around the world to reflect modern advances through peer-reviewed papers, short communications, meeting proceedings and case reports.
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