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.
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.
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。
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