Martins Wilson Denis, Ribas Marina de Oliveira, Bisinelli Julio, França Beatriz Helena S, Martins Guilherme
Cranio. 2014 Apr;32(2):110-7. doi: 10.1179/0886963413Z.00000000017.
Dislocation of the temporomandibular joint (TMJ) is a troublesome condition that occurs in a chronic or acute form. It is a distressing and highly embarrassing situation that may occur as a result of daily activities such as yawning, laughing, or during events that require keeping the mouth open for a long time. This review aims to present and discuss different conservative and surgical techniques to treat patients with a dislocated mandible, and to present two cases of surgical treatment.
A search of the literature was completed (Medline, PubMed) using the keywords TMJ dislocation, TMJ luxation, mandibular dislocation and surgical and non-surgical methods of treatment for this condition.
Eminectomy (Myrhaug's surgery) has been used with satisfactory results. Most of reports present large series of patients with more than one year of follow-up and no recurrence of complications. Is less invasive and take a short operation time; need no bone transplantation or placing any kind of foreign body into the joint.
Eminectomy results in long-term resolution of recurrent TMJ dislocations, when compared with others surgical techniques.
颞下颌关节（TMJ）脱位是一种以慢性或急性形式出现的棘手病症。它是一种令人痛苦且极为尴尬的情况，可能因打哈欠、大笑等日常活动，或在需要长时间张口的事件中发生。本综述旨在介绍和讨论治疗下颌脱位患者的不同保守和手术技术，并展示两例手术治疗病例。
使用关键词“TMJ脱位”“TMJ半脱位”“下颌脱位”以及针对该病症的手术和非手术治疗方法，完成了文献检索（Medline、PubMed）。
髁突切除术（米尔豪格手术）已被应用且效果令人满意。大多数报告呈现了大量患者的系列研究，随访时间超过一年且无并发症复发。该手术侵入性较小，手术时间短；无需骨移植或在关节内放置任何异物。
与其他手术技术相比，髁突切除术可使复发性TMJ脱位得到长期解决。
