颞下颌关节内紊乱盘复位手术的20年随访研究
20-year follow-up study of disc repositioning surgery for temporomandibular joint internal derangement.
作者信息
Abramowicz Shelly, Dolwick M Franklin
机构信息
Instructor of Oral and Maxillofacial Surgery, Department of Plastic and Oral Surgery, Children's Hospital Boston, Harvard School of Dental Medicine, Boston, MA, USA.
出版信息
J Oral Maxillofac Surg. 2010 Feb;68(2):239-42. doi: 10.1016/j.joms.2009.09.051. Epub 2010 Jan 15.
PURPOSE
The purpose of this study was to assess the outcomes of temporomandibular joint (TMJ) disc repositioning as a surgical treatment for TMJ internal derangement (ID).
MATERIALS AND METHODS
By retrospective chart review, all patients who had TMJ disc repositioning for treatment of TMJ ID from 1984 to 1990 were identified. Attempts were made to locate these patients, and they were sent a TMJ questionnaire. The questionnaire provided subjective (pain and diet consistency) and objective (mandibular function) data.
RESULTS
The chart review yielded 153 patients. Complete TMJ questionnaires were obtained from 18 patients (36 joints). Analysis of data showed a reduction in pain scores, an improvement in diet consistency, and an increase in mandibular range of motion. The majority (94%) reported an improvement in quality of life.
CONCLUSIONS
Outcome data presented show that TMJ disc repositioning is an effective and successful surgical treatment for TMJ ID. This success has been maintained for 20 years in this specific patient population.
目的
本研究旨在评估颞下颌关节（TMJ）盘复位术作为颞下颌关节内紊乱（ID）手术治疗方法的效果。
材料与方法
通过回顾性病历审查，确定了1984年至1990年间接受TMJ盘复位术治疗TMJ ID的所有患者。试图找到这些患者，并向他们发送了一份TMJ问卷。该问卷提供了主观（疼痛和饮食一致性）和客观（下颌功能）数据。
结果
病历审查共纳入153例患者。从18例患者（36个关节）获得了完整的TMJ问卷。数据分析显示疼痛评分降低、饮食一致性改善以及下颌活动范围增加。大多数患者（94%）报告生活质量有所改善。
结论
所呈现的结果数据表明，TMJ盘复位术是治疗TMJ ID的一种有效且成功的手术方法。在这一特定患者群体中，这种成功已持续了20年。
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