Holmlund A, Axelsson S
Department of Oral Surgery, School of Dentistry, Karolinska Institute, Huddinge, Sweden.
Swed Dent J. 1990;14(5):213-8.
Diskectomy for treatment of temporomandibular joint disk derangements was evaluated clinically. The study comprised 40 consecutive patients (50 joints) with pain in the joint area and functional impairment not alleviated with nonsurgical therapy for at least 6 months. Diskectomy was performed in 32 joints. In 18 joints both diskectomy and minor arthroplasty were performed. No disk substituting implants were used. At 1 year follow-up 85% of the patients were free of symptoms from the temporomandibular joint area and showed normalized mandibular movements. Twenty patients were followed for 3 years. Two patients with arthrosis showed recurrence of symptoms. It was concluded that diskectomy is an effective surgical procedure for treatment of temporomandibular joint disk derangements.
对用于治疗颞下颌关节盘紊乱的椎间盘切除术进行了临床评估。该研究纳入了40例连续患者（50个关节），这些患者关节区域疼痛且功能受损，非手术治疗至少6个月未缓解。对32个关节实施了椎间盘切除术。在18个关节中同时进行了椎间盘切除术和小关节成形术。未使用椎间盘替代植入物。随访1年时，85%的患者颞下颌关节区域无症状，下颌运动恢复正常。20例患者随访了3年。2例患有关节病的患者症状复发。得出的结论是，椎间盘切除术是治疗颞下颌关节盘紊乱的一种有效手术方法。
