Tocaciu S, McCullough M J, Dimitroulis G
Oral and Maxillofacial Unit, St Vincent's Hospital Melbourne, Australia.
Oral Medicine Unit, Melbourne Dental School, University of Melbourne, Australia.
Br J Oral Maxillofac Surg. 2018 Dec;56(10):936-940. doi: 10.1016/j.bjoms.2018.10.274. Epub 2018 Nov 6.
Recurrent dislocation of the temporomandibular joint (TMJ) is rare. It is distinct from acute or chronic dislocation and is associated with considerable morbidity and deterioration in quality of life. To formulate a practical surgical treatment algorithm, we retrospectively reviewed the management and long-term outcomes of 14 patients who presented to a single hospital department over a period of six years (2010-2016), and collected data on demographics, clinical features, operation, and outcome. Patients were followed up for a minimum of 12 months and a maximum of seven years. Results showed effective long-term resolution of symptoms after a combination of eminectomy and disc plication (meniscopexy). Patients whose symptoms had resulted from dystonia of the lateral pterygoid muscle also benefitted from additional lateral pterygoid myotomy. A combination of eminectomy and disc plication (meniscopexy) effectively provides successful long-term outcomes in this group of patients.
颞下颌关节（TMJ）复发性脱位较为罕见。它有别于急性或慢性脱位，会导致相当程度的发病情况及生活质量下降。为制定切实可行的手术治疗方案，我们回顾性分析了6年间（2010 - 2016年）在单一医院科室就诊的14例患者的治疗情况及长期预后，并收集了人口统计学、临床特征、手术及预后等数据。对患者进行了至少12个月、最长7年的随访。结果显示，在进行髁突切除术和盘状折叠术（关节盘固定术）联合治疗后，症状得到了长期有效的缓解。因翼外肌张力障碍导致症状的患者，额外进行翼外肌切断术也有益处。髁突切除术和盘状折叠术（关节盘固定术）联合应用能有效为该组患者提供成功的长期预后。
