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颞下颌关节穿刺术——弥合非手术治疗与手术治疗之间的差距

Arthrocentesis of Temporomandibular Joint- Bridging the Gap Between Non-Surgical and Surgical Treatment.

作者信息

Soni Abhishek

机构信息

Department of Oral Medicine and Radiology, Modern Dental College and Research Center, Indore, Madhya Pradesh, India.

出版信息

Ann Maxillofac Surg. 2019 Jan-Jun;9(1):158-167. doi: 10.4103/ams.ams_160_17.

Abstract

The temporomandibular joint forms one of the most fascinating and complex synovial joints in the body. Movements of the temporomandibular joint are regulated by an intricate neurological controlling mechanism, which is essential for the system to function normally and efficiently. Lack of such harmony may cause disruptive muscle behavior or structural damage to any of the components. The management of refractory pain and dysfunctions in the temporomandibular joint poses challenge both to the oral physician and maxillofacial surgeon. Arthrocentesis is a simple, minimally invasive technique that can be used instead of more invasive procedures in patients with pain that fails to respond to conventional conservative measures. This review provides a full comprehensive overview of the literature about the various technical and prognostic aspects in relation to arthrocentesis of the temporomandibular joint, and every clinician must take into account this consideration when performing this procedure in treating patients with temporomandibular disorders.

摘要

颞下颌关节是人体中最引人入胜且复杂的滑膜关节之一。颞下颌关节的运动由一个复杂的神经控制机制调节,该机制对于系统正常且高效地运作至关重要。缺乏这种协调性可能会导致肌肉行为紊乱或对任何组成部分造成结构损伤。颞下颌关节难治性疼痛和功能障碍的管理对口腔医师和颌面外科医生而言都是一项挑战。关节穿刺术是一种简单的微创技术,对于疼痛对传统保守措施无反应的患者,可用于替代更具侵入性的手术。本综述全面概述了与颞下颌关节关节穿刺术相关的各种技术和预后方面的文献,每位临床医生在对颞下颌关节紊乱患者进行此操作时都必须考虑到这一点。

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