Nale John C
Department of Oral and Maxillofacial Surgery, Louisiana State University Health Science Center, New Orleans, LA, USA; Private Practice, Carolina's Center for Oral and Facial Surgery, 8840 Blakeney Professional Drive, Suite 300, Charlotte, NC 28277, USA.
Oral Maxillofac Surg Clin North Am. 2014 Nov;26(4):551-64. doi: 10.1016/j.coms.2014.08.012. Epub 2014 Sep 12.
The role of orthognathic surgery for the correction of dentofacial deformities is widely accepted. However, its role in the treatment of temporomandibular joint disorders (TMD) is quite controversial. TMD symptoms should be treated independently of dentofacial deformities. Understanding that TMD can potentially worsen following orthognathic surgery, it is important to modify the surgical treatment plan to minimize the risk of exacerbation of TMJ pain, dysfunction, and condylar resorption.
正颌手术在矫正牙颌面畸形中的作用已被广泛认可。然而，其在颞下颌关节紊乱病（TMD）治疗中的作用颇具争议。TMD症状应独立于牙颌面畸形进行治疗。鉴于认识到正颌手术后TMD可能会恶化，因此调整手术治疗方案以将颞下颌关节疼痛、功能障碍和髁突吸收加重的风险降至最低非常重要。
