Baldwin Andrew J, Cooper John C
Department of Oral and Maxillofacial Surgery, North Manchester General Hospital, Manchester, UK.
J Craniomaxillofac Surg. 2004 Dec;32(6):354-9. doi: 10.1016/j.jcms.2004.05.003.
The aim of this study was to assess the success of a single surgical procedure (eminectomy and meniscal plication) in patients with internal derangement of the temporomandibular joint.
A retrospective survey of 119 joints (92 patients), that had undergone eminectomy +/- meniscal plication for internal derangement of the temporomandibular joint, over a 10 year period, was undertaken.
The same surgeon undertook all surgery and clinical evaluation. Assessment of joint pain, noise/click, and mobility were assessed pre- and post-operatively. Clinical assessment at 24 months postoperatively and patient evaluation (average 59 months postoperatively) formed the basis for the results.
Clinical assessment and patient evaluation revealed an improvement in pain (65%), noise (63%) and mobility (71%). The outcome of surgery as assessed by the patients and clinicians showed that both have similar expectations and evaluations of the results of temporomandibular joint surgery, which were reasonably good. Arthrography, which was used as a diagnostic technique prior to surgery, was shown to be unreliable with relatively low sensitivity and specificity.
本研究旨在评估颞下颌关节内紊乱患者单次外科手术（髁突切除术和半月板折叠术）的成功率。
对119个关节（92例患者）进行了回顾性调查，这些患者在10年期间因颞下颌关节内紊乱接受了髁突切除术±半月板折叠术。
所有手术和临床评估均由同一位外科医生进行。术前和术后评估关节疼痛、弹响/咔哒声和活动度。术后24个月的临床评估和患者评估（术后平均59个月）构成了结果的基础。
临床评估和患者评估显示疼痛（65%）、弹响（63%）和活动度（71%）有所改善。患者和临床医生评估的手术结果表明，两者对颞下颌关节手术结果的期望和评估相似，结果相当不错。术前用作诊断技术的关节造影显示不可靠，敏感性和特异性相对较低。
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