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关节镜下颞下颌关节灌洗与松解:观念的转变

Arthroscopic lavage and lysis of the temporomandibular joint: a change in perspective.

作者信息

Nitzan D W, Dolwick M F, Heft M W

机构信息

Department of Oral and Maxillofacial Surgery, Hebrew University-Hadassah School of Dental Medicine, Jerusalem, Israel.

出版信息

J Oral Maxillofac Surg. 1990 Aug;48(8):798-801; discussion 802. doi: 10.1016/0278-2391(90)90335-y.

Abstract

Arthroscopic surgery was applied to correct various disorders of the temporomandibular joint (TMJ). Lysis and lavage of the upper TMJ compartment proved of value in patients with anterior disc displacement without reduction ("closed lock"), because it increased the range of mouth motion and alleviated pain in the TMJ. Because this beneficial arthroscopic intervention did not encompass repositioning the disc, its surgical relocation when attempting to overcome dysfunction and pain in the TMJ is questioned.

摘要

关节镜手术被用于纠正颞下颌关节(TMJ)的各种紊乱。对于前盘移位不可复性(“闭口锁”)的患者,上颞下颌关节腔的松解和灌洗已证明具有价值,因为它增加了张口运动范围并减轻了颞下颌关节疼痛。由于这种有益的关节镜干预并不包括重新定位关节盘,因此当试图克服颞下颌关节功能障碍和疼痛时对其进行手术复位受到质疑。

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