Dahl M, Sindet-Pedersen S, Jensen J, Westermark A
Arhus Kommunehospital, Denmark.
Tandlaegebladet. 1990 Nov;94(16):648-54.
Diagnostic arthroscopy and arthroscopic surgery of the TMJ has during the recent years been introduced in the treatment of internal derangements, preauricular pain and osteoarthrosis of the TMJ. In closed lock cases and in cases with preauricular pain a satisfactory result of treatment has been described in 80-90% of cases, where there was lacking effect of conservative treatment with splints and physiotherapy. The refinement in the technique has made it possible to use rotating instruments, cauterisation and to perform suturing through the arthroscopic cannula and in this way reduce the need for open joint surgery. Due to the technique only few complications have been reported. In the Department of Oral and Maxillofacial Surgery in the University Hospital of Aarhus arthroscopy of the TMJ was introduced 1 1/2 year ago and 22 patients with the clinical diagnosis closed lock or preauricular pain or a combination of these has been treated during this period. The results are satisfactory in most cases and are comparable with previously published results.
近年来，颞下颌关节的诊断性关节镜检查和关节镜手术已被用于治疗颞下颌关节的内部紊乱、耳前疼痛和骨关节炎。在闭锁病例和耳前疼痛病例中，对于保守治疗（如使用夹板和物理治疗）无效的情况，80%至90%的病例描述了令人满意的治疗效果。技术的改进使得使用旋转器械、烧灼以及通过关节镜套管进行缝合成为可能，从而减少了开放性关节手术的需求。由于该技术，仅报告了很少的并发症。在奥胡斯大学医院口腔颌面外科，1年半前引入了颞下颌关节镜检查，在此期间治疗了22例临床诊断为闭锁或耳前疼痛或两者兼有的患者。大多数病例的结果令人满意，与先前发表的结果相当。
