颞下颌关节关节腔穿刺术的并发症及术后后遗症
Complications and post-operative sequelae of temporomandibular joint arthrocentesis.
作者信息
Vaira Luigi Angelo, Raho Maria Teresa, Soma Damiano, Salzano Giovanni, Dell'aversana Orabona Giovanni, Piombino Pasquale, De Riu Giacomo
机构信息
a Operative Unit of Maxillo-Facial Surgery , University of Sassari , Sassari , Italy.
b Operative Unit of Maxillo-Facial Surgery , University of Naples "Federico II" , Naples , Italy.
出版信息
Cranio. 2018 Jul;36(4):264-267. doi: 10.1080/08869634.2017.1341138. Epub 2017 Jun 15.
OBJECTIVE
To evaluate intraoperative complications and postsurgical sequelae associated with arthrocentesis of the TMJ, including injection of Sodium Hyaluronate.
METHODS
This retrospective study evaluated 433 arthrocentesis procedures performed in 315 patients between January 2009 and August 2016. The authors reviewed the complications identified during the procedure and the follow-up period.
RESULTS
Temporary swelling of the periarticular tissues (95.1%) or the external auditory canal (23.5%), ipsilateral temporary open bite (68.8%), frontalis and orbicularis oculis paresis (65.1%), preauricular hematoma (0.4%), and a case of vertigo (0.2%) were the complications detected.
CONCLUSIONS
TMJ arthrocentesis remains a procedure with a minimum number of important complications. If present, complications are generally temporary, caused by the anesthetic effect or by the soft tissue edema created by the fluid extravasation created by the irrigation procedure, and can be managed on an outpatient basis.
目的
评估与颞下颌关节关节腔穿刺术相关的术中并发症及术后后遗症，包括透明质酸钠注射。
方法
这项回顾性研究评估了2009年1月至2016年8月期间在315例患者中进行的433例关节腔穿刺术。作者回顾了手术过程及随访期间发现的并发症。
结果
检测到的并发症包括关节周围组织暂时肿胀（95.1%）或外耳道暂时肿胀（23.5%）、同侧暂时性开牙合（68.8%）、额肌和眼轮匝肌麻痹（65.1%）、耳前血肿（0.4%）以及1例眩晕（0.2%）。
结论
颞下颌关节关节腔穿刺术仍然是一种重要并发症数量最少的手术。如果出现并发症，通常是暂时的，由麻醉效果或冲洗过程中液体外渗导致的软组织水肿引起，可在门诊处理。
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