存在颞下颌关节紊乱时的正颌外科手术：接下来会怎样？
Orthognathic surgery in the presence of temporomandibular dysfunction: what happens next?
作者信息
Nadershah Mohammed, Mehra Pushkar
机构信息
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, King Abdul Aziz University, PO Box 80200, Jeddah 21589, Saudi Arabia; Department of Oral and Maxillofacial Surgery, Boston University Henry M. Goldman School of Dental Medicine, 100 East Newton Street, Suite G-407, Boston, MA 02118, USA.
Department of Oral and Maxillofacial Surgery, Boston University Henry M. Goldman School of Dental Medicine, 100 East Newton Street, Suite G-407, Boston, MA 02118, USA.
出版信息
Oral Maxillofac Surg Clin North Am. 2015 Feb;27(1):11-26. doi: 10.1016/j.coms.2014.09.002.
One of the most well-known yet perhaps controversial conditions affecting temporomandibular dysfunction (TMD) and the signs and symptoms of facial pain and clinical outcomes after orthognathic surgery procedures is temporomandibular joint internal derangement. This article provides an overview of the mutual relationship between orthognathic surgery and TMD, with especial consideration to internal derangement. The existing literature is reviewed and analyzed and the pertinent findings are summarized. The objective is to guide oral and maxillofacial surgeons in their clinical decision making when contemplating orthognathic surgery in patients with preexisting TMD.
颞下颌关节内紊乱是影响颞下颌关节紊乱病（TMD）以及正颌外科手术后面部疼痛体征、症状和临床结果的最广为人知但可能存在争议的病症之一。本文概述了正颌外科手术与TMD之间的相互关系，尤其关注内紊乱。对现有文献进行了综述和分析，并总结了相关发现。目的是在考虑为已有TMD的患者进行正颌外科手术时，指导口腔颌面外科医生进行临床决策。
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