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本文引用的文献

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Internal derangement outcomes reporting.关节内紊乱的结果报告。
J Oral Maxillofac Surg. 2010 Jun;68(6):1455; author reply 1455-6. doi: 10.1016/j.joms.2010.01.027.
2
20-year follow-up study of disc repositioning surgery for temporomandibular joint internal derangement.颞下颌关节内紊乱盘复位手术的20年随访研究
J Oral Maxillofac Surg. 2010 Feb;68(2):239-42. doi: 10.1016/j.joms.2009.09.051. Epub 2010 Jan 15.
3
Discectomy as the primary surgical option for internal derangement of the temporomandibular joint.椎间盘切除术作为颞下颌关节内紊乱的主要手术选择。
J Oral Maxillofac Surg. 2010 Apr;68(4):782-9. doi: 10.1016/j.joms.2009.09.091. Epub 2010 Jan 15.
4
Use of a calibrated beaker in TMJ arthrocentesis.在颞下颌关节穿刺术中使用校准烧杯。
Br J Oral Maxillofac Surg. 2009 Jun;47(4):329-30. doi: 10.1016/j.bjoms.2009.01.016. Epub 2009 Mar 9.
5
Does the use of soft or hard splints affect the short-term outcome of temporomandibular joint arthrocentesis?使用软夹板或硬夹板会影响颞下颌关节关节腔穿刺术的短期疗效吗？
Int J Oral Maxillofac Surg. 2008 May;37(5):424-7. doi: 10.1016/j.ijom.2008.01.022. Epub 2008 Mar 19.
6
Studies on function and dysfunction of the masticatory system. 3. Analyses of anamnestic and clinical recordings of dysfunction with the aid of indices.咀嚼系统功能与功能障碍的研究。3. 借助指数对功能障碍的既往史及临床记录进行分析。
Sven Tandlak Tidskr. 1974 May;67(3):165-81.

翼外肌松解术治疗颞下颌关节内紊乱症

Pterygoid disjunction for internal derangement of temporomandibular joint.

作者信息

Sharma Rohit

机构信息

Department of Maxillofacial Surgery, Military Hospital, Jalandhar Cantt, Punjab, 144005 India.

出版信息

J Maxillofac Oral Surg. 2011 Jun;10(2):142-7. doi: 10.1007/s12663-011-0202-4. Epub 2011 Apr 22.

DOI:10.1007/s12663-011-0202-4
PMID:22654366
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3177516/
Abstract

AIM

The aim of this study was to clinically evaluate the outcomes of pterygoid disjunction (PD) carried out as the primary treatment modality for reducing disc displacement type of internal derangement (ID) of temporomandibular joint (TMJ) refractory to conservative management and arthrocentesis.

PATIENTS AND METHOD

59 PD were carried out in 33 patients. In 26 cases procedure was done bilaterally and in 7 cases unilaterally as per the presentation from 2008 to 2010. Three patients were lost to follow up. Using the Helkimo Anamnestic and Clinical Dysfunction Indices cases were evaluated pre and postoperatively after 1 year.

RESULTS

All 30 cases showed improvement. After 1 year follow up 6 cases were in Dio and 22 cases were in DiI and 2 cases were in DiII of clinical dysfunction index. From which we can co-relate that post surgically all the patients were benefited by this procedure.

CONCLUSION

PD as a primary surgical option significantly reduces pain and improves function in the refractory cases of reducing disc displacement type of ID of TMJ.

摘要

目的

本研究旨在对翼外肌分离术（PD）作为保守治疗和关节腔穿刺术无效的颞下颌关节（TMJ）可复性盘前移位型内紊乱（ID）的主要治疗方式的临床效果进行评估。

患者与方法

对33例患者实施了59次翼外肌分离术。根据2008年至2010年的临床表现，26例双侧手术，7例单侧手术。3例患者失访。采用赫尔基莫记忆和临床功能障碍指数对病例在术后1年进行术前和术后评估。

结果

所有30例均有改善。随访1年后，临床功能障碍指数6例为Dio，22例为DiI，2例为DiII。由此我们可以得出，术后所有患者均从该手术中获益。

结论

在TMJ可复性盘前移位型内紊乱的难治性病例中，翼外肌分离术作为主要手术选择可显著减轻疼痛并改善功能。