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Outcome of occlusion therapy for head and neck trauma syndrome with occlusion disorder induced by traffic accident Kosuke Ichihashi 1 , Noriko Arai 1 , Kenichi Ichihashi 2 , Shoji Nakamura 3 , Masahiro Kawamura 4 1Ichihashi Eye Clinic 2Ichihashi Clinic 3Japan Bio-Occlusion Research Center 4Department of Dentistry, Hannan Hospital pp.1465-1474
Published Date 2018/10/15
DOI https://doi.org/10.11477/mf.1410212857
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Abstract Purpose:To report 8 cases who developed head and neck trauma syndrome with occlusion disorder following traffic accident and who improved after occlusion therapy.

Cases:This retrospective study was made on 8 cases who developed head and neck trauma syndrome with occlusion disorder following traffic accident in the past 4 years. The series comprised 2 males and 6 females. The age ranged from 29 to 66 years, average 46.9 years. All the 8 cases were involved in traffic accident while wearing safety seat belt. Five cases suffered from rear-end collision.

Findings and Clinical Course:Subjective symptoms were variable and involved tired feelings, insufficient accommodation or convergence, diplopia and vertigo. They were examined by panoramic x-ray examination of the head, face, or mandibula, and by magnetic resonance imaging(MRI)of the head, maxillofacial cranium, spine. Occlusion disorder was treated by oral appliances including mouth piece in 7 cases. One case received adjustment of occlusion only.

Results:State of occlusion improved in all the cases. Six cases showed improved ocular movement, enlarged vertical eye movement, or wide fusion area. Photophobia improved in 2 cases. Six cases showed decreased tension of soft tissue in the neck.

Conclusion:Six out of eight cases of head and neck trauma syndrome with occlusion disorder showed improvements in ocular and systemic symptoms following treatment for occlusion.


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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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