Anderson D M, Sinclair P M, McBride K M
Department of Orthodontics, Baylor College of Dentistry, Baylor University, Dallas, Texas.
Am J Orthod Dentofacial Orthop. 1991 Aug;100(2):156-62. doi: 10.1016/S0889-5406(05)81522-7.
Clinical and radiographic examinations were performed preoperatively and an average of 18 1/2 months postoperatively on 33 patients who had undergone TMJ disk plication surgery because of significant TMJ dysfunction symptoms that had not been resolved by previous conservative therapy. The results indicated that the disk plication procedure reduced the overall frequency of symptoms by 75%. The frequency of TMJ intracapsular, otologic, and head and shoulder symptoms was reduced by more than 80% after surgery whereas dental symptoms such as bruxing and clenching showed only a 28% reduction in incidence. Of the sample 77% were either free of pain or experiencing only mild symptoms at their postoperative recall, with only nine joints still experiencing moderate or severe symptoms, compared with the 31 joints that were in this category before surgery.
对33例因颞下颌关节（TMJ）严重功能障碍症状经先前保守治疗未缓解而接受TMJ盘折叠手术的患者，在术前及术后平均18.5个月进行了临床和影像学检查。结果表明，盘折叠手术使症状的总体发生率降低了75%。术后TMJ关节囊内、耳科以及头部和肩部症状的发生率降低了80%以上，而磨牙症和紧咬牙等牙齿症状的发生率仅降低了28%。在样本中，77%的患者在术后复查时无痛或仅经历轻微症状，只有9个关节仍有中度或重度症状，而术前这一类别中有31个关节。
