Boll P G, Mercuri L G
Anesth Prog. 1988 Mar-Apr;35(2):65-71.
The purpose of this paper is to offer the oral and maxillofacial surgeon a collaborative approach to the treatment of complex temporomandibular joint (TMJ) dysfunction. Through a positive relationship with a family therapist, the oral and maxillofacial surgeon in this case reports family therapy intervention as an additive solution to resolving apparent recurrent surgical failures. After three surgical procedures, the oral and maxillofacial surgeon noted continued muscle hyperactivity brought on by family environmental stress and arranged for family therapy treatment before a fourth surgical procedure. This paper presents a complicated TMJ case history, documentation for including the family in treatment of pain problems, collaborative efforts necessary for acceptance of referral for psychological intervention, and a family therapy approach to treatment in complex TMJ dysfunction.
本文旨在为口腔颌面外科医生提供一种治疗复杂颞下颌关节（TMJ）功能障碍的协作方法。通过与家庭治疗师建立积极的关系，本文病例中的口腔颌面外科医生报告称，家庭治疗干预是解决明显反复出现的手术失败问题的一种补充解决方案。在进行了三次外科手术后，口腔颌面外科医生注意到家庭环境压力导致肌肉持续过度活跃，并在第四次外科手术前安排了家庭治疗。本文介绍了一个复杂的颞下颌关节病例史、将家庭纳入疼痛问题治疗的记录、接受心理干预转诊所需的协作努力，以及针对复杂颞下颌关节功能障碍的家庭治疗方法。
