진단적 국소마취 주사를 이용한 가쪽날개근 근육통의 치료 2 증례

Management of Lateral Pterygoid Myalgia with Diagnostic Local Anesthetic Injection: A Report of 2 Cases

  • 임영관 (전남대학교치과병원 구강내과) ;
  • 김병국 (전남대학교 치의학전문대학원 구강내과학교실)
  • Im, Yeong-Gwan (Department of Oral Medicine, Chonnam National University Hospital) ;
  • Kim, Byung-Gook (Department of Oral Medicine, School of Dentistry, Chonnam National University)
  • 투고 : 2010.08.17
  • 심사 : 2010.09.15
  • 발행 : 2010.12.30

초록

가쪽날개근은 턱의 기능을 수행하는데 기본적인 저작근 중의 하나이다. 이 근육은 저작계의 심부에 위치하기 때문에 손가락을 이용한 촉진검사가 어려우며 그 결과도 신뢰할 만하지 못하다. 이러한 이유로 임상의에게 가쪽날개근에 이환된 근육통 질환을 진단하는 것은 쉽지 않은 문제이다. 근육내 국소마취 주사는 통증의 근원지를 감별하는 목적으로서 가쪽날개근을 검사하는 효과적인 방법이 될 수 있다. 또한 근육통을 즉각적으로 제거함으로써 근육을 전체 길이만큼 신장하는데 도움을 줄 수 있다. 저자들은 근육내 국소마취 주사를 이용하여 가쪽날개근의 근육통을 성공적으로 진단하고 치료한 두 증례를 보고하고자 한다.

The lateral pterygoid muscle is one of the masticatory muscles basic to jaw function. Because of its deep location in the masticatory system, digital palpation of the muscle is usually difficult to perform and unreliable. Therefore, diagnosis of the myalgic disorders involving the lateral pterygoid muscle is a perplexing problem for clinicians. Local anesthetic injection can be a more effective method to examine the lateral pterygoid muscle for the purpose of discriminating the source of pain. Furthermore, immediate elimination of muscle pain facilitates stretching of the muscle in the full range. We report two cases of lateral pterygoid myalgia that were diagnosed and managed successfully through the use of intramuscular local anesthetic injection.

키워드

참고문헌

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