Teh L Y, Peck R H, Chew S C, Goh W S, Chua E K
Department of Oral & Maxillofacial Surgery, Government Dental Clinic, Singapore.
Ann Acad Med Singap. 1992 Nov;21(6):747-50.
An arthroscopic study on 22 temporomandibular joints in 13 cadavers was undertaken. Dissections were carried out to correlate the arthroscopic with macroscopic findings in the joints. Iatrogenic damage to the temporomandibular joints and their surrounding tissues was also examined. Correlation between arthroscopy and macro findings was 91.0%. There was no damage to the facial nerve and superficial temporal vessels. Iatrogenic damage to the temporomandibular joint included scuffing of the articular surfaces of the glenoid fossa and articular eminence (31.8%), scuffing of the condylar articular surface (9%), one disc perforation (4.5%) and one perforation of the medial capsule (4.5%). Prevention of iatrogenic injuries is discussed.
对13具尸体的22个颞下颌关节进行了关节镜研究。进行解剖以将关节镜检查结果与关节的宏观检查结果相关联。还检查了颞下颌关节及其周围组织的医源性损伤。关节镜检查与宏观检查结果的相关性为91.0%。面神经和颞浅血管未受损伤。颞下颌关节的医源性损伤包括关节窝和关节结节关节面的擦伤（31.8%）、髁突关节面的擦伤（9%）、1例关节盘穿孔（4.5%）和1例内侧关节囊穿孔（4.5%）。讨论了医源性损伤的预防。
