经关节内镜辅助的经关节突入路治疗自发性颞下颌关节盘前移位
Endoscopic-Assisted Repair of Spontaneous Temporomandibular Joint Herniation Through a Transcanal Approach.
机构信息
Department of Otorhinolaryngology Head and Neck Surgery, Second Affiliated Hospital of Nanchang University.
Jiangxi Biomedical Engineering Research Center for Auditory Research, Nanchang, China.
出版信息
Otol Neurotol. 2019 Jul;40(6):772-776. doi: 10.1097/MAO.0000000000002278.
OBJECTIVE
To report of the presentation, diagnosis, and management of a spontaneous temporomandibular joint (TMJ) herniation.
PATIENTS
A 69-year-old man with a spontaneous TMJ herniation.
INTERVENTIONS
Diagnostic evaluation and surgical approaches.
MAIN OUTCOME MEASURES
Imaging, and medical and surgical treatment outcomes.
RESULTS
At 14 months follow-up, the patient reported improved tinnitus and on examination there was no evidence of a hypertrophic scar or canal stenosis, no recurrence of TMJ herniation, no signs of otorrhea, otalgia; and with normal TMJ function.
CONCLUSIONS
The advantages of repairing spontaneous TMJ herniation through a transcanal approach using oto-endoscopy include a high definition video of surgical field, minimal invasiveness, and good postoperative cosmetic outcome.
目的
报告一例自发性颞下颌关节（TMJ）疝的表现、诊断和治疗。
患者
一名 69 岁男性，患有自发性 TMJ 疝。
干预措施
诊断评估和手术方法。
主要观察指标
影像学和医疗及手术治疗结果。
结果
随访 14 个月，患者报告耳鸣改善，检查时未见肥厚性瘢痕或管腔狭窄，TMJ 疝无复发，无耳漏、耳痛迹象，TMJ 功能正常。
结论
使用耳内镜经耳道入路修复自发性 TMJ 疝的优点包括手术视野高清视频、微创和良好的术后美容效果。
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