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颞下颌关节下腔关节成形术：25年随访（功能性关节成形术）

TMJ inferior compartment arthroplasty procedure through a 25-year follow-up (functional arthroplasty).

作者信息

Cascone Piero, Ramieri Valerio, Arangio Paolo, Vellone Valentino, Tarsitano Achille, Marchetti Claudio

机构信息

Unit of Maxillofacial Surgery, Policlinico Umberto I, Sapienza University of Rome, Italy.

Department of Biomedical and Neuromotor Sciences, Section of Maxillofacial Surgery, University of Bologna, Policlino S. Orsola, Bologna, Italy.

出版信息

Ann Stomatol (Roma). 2017 Jan 10;7(3):60-64. doi: 10.11138/ads/2016.7.3.060. eCollection 2016 Jul-Sep.

DOI:10.11138/ads/2016.7.3.060
PMID:28149452
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5231791/
Abstract

OBJECTIVE

The purpose of this study was to assess the outcomes of temporomandibular joint (TMJ) "functional arthroplasty" on the inferior compartment and disc reposition as a surgical treatment for internal derangement (ID).

PATIENTS AND METHODS

By retrospective chart review, all patients who had TMJ surgery on the inferior compartment for TMJ ID from 1985 to 2010 were identified. Their charts were reviewed and subjective data as well as objective data was collected.

RESULTS

The chart review yielded 352 patients treated through this approach for a total of 696 joints involved. Analysis of the data showed that there was a good health improvement. The mid VAS about pre surgical TMJ pain was 58.3, after surgery 7.7. About headache and cervical pain the pre surgery mid VAS was 47.7, after surgery 16.7.

CONCLUSIONS

Outcome data presented show that TMJ surgery on the inferior compartment and disc reposition could be an effective and successful surgical treatment of TMJ ID. This success has been seen and maintained also in long term follow up in this specific patient population. For this reason, we propose to call this procedure "functional arthroplasty".

摘要

目的

本研究旨在评估颞下颌关节（TMJ）下腔“功能性关节成形术”及盘复位作为颞下颌关节内紊乱（ID）外科治疗方法的疗效。

患者与方法

通过回顾性病历审查，确定了1985年至2010年间因颞下颌关节内紊乱而接受颞下颌关节下腔手术的所有患者。对他们的病历进行了审查，并收集了主观数据和客观数据。

结果

病历审查发现352例患者通过该方法进行了治疗，共涉及696个关节。数据分析显示健康状况有显著改善。术前颞下颌关节疼痛的视觉模拟评分（VAS）中位数为58.3，术后为7.7。关于头痛和颈部疼痛，术前VAS中位数为47.7，术后为16.7。

结论

所呈现的结果数据表明，颞下颌关节下腔手术及盘复位可能是治疗颞下颌关节内紊乱的一种有效且成功的外科治疗方法。在这一特定患者群体的长期随访中也观察到并维持了这种成功。因此，我们建议将该手术称为“功能性关节成形术”。

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本文引用的文献

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