Schmoker R, Spiessl B, Trzeciak W
SSO Schweiz Monatsschr Zahnheilkd. 1979 Mar;89(3):213-21.
Hypermobility of the mandibular condyle may only slightly be influenced by conservative treatment. On the other hand, all surgical methods, except the one described here include a risk factor concerning nerve or blood vessel damage. The present method limits, by plastic surgery, the joint mobility. 28 such operations were checked for results. The cases with recidivating luxation with trismus and blocking of the mandible reacted very favourably. The cases with habitual subluxation without trismus, and the cases with myofacial pain syndrome were not as favorable, objectively seen. Subjectively, however, the patients feel the operation is a success. Further investigation by control checking on late results is indicated.
下颌髁突活动度过大可能仅会受到保守治疗的轻微影响。另一方面，除了这里描述的手术方法外，所有手术方法都存在神经或血管损伤的风险因素。目前的方法通过整形手术来限制关节活动度。对28例此类手术的结果进行了检查。伴有牙关紧闭和下颌骨阻滞的复发性脱位病例反应非常良好。客观来看，无牙关紧闭的习惯性半脱位病例以及肌筋膜疼痛综合征病例的效果则没那么好。然而，患者主观上感觉手术是成功的。需要通过对远期结果的对照检查进行进一步研究。
