关节镜下髁突成形术在颞下颌关节习惯性脱位治疗中的作用
Role of Arthroscopic Eminoplasty in the Management of the Habitual Dislocation of Temporomandibular Joint.
作者信息
Garcia Martin Miguel, Garcia Medina Blas, Cariati Paolo, Galvez Pablo
机构信息
Department of Dentistry, University of Granada.
Department of Oral and Maxillofacial Surgery, Hospital Virgen de las Nieves, Granada, Spain.
出版信息
J Craniofac Surg. 2020 Jun;31(4):1050-1053. doi: 10.1097/SCS.0000000000006287.
AIM
To evaluated the effectiveness of arthroscopic eminoplasty in the management of habitual dislocation of the temporomandibular joint (TMJ).
PATIENTS AND METHODS
The study is based on a retrospective evaluation of 11 patients (20 joints) with chronic habitual dislocations of TMJ treated with arthroscopic eminoplasty. Maximal postoperative mouth opening, complications related to surgery, duration of postoperative hospital stay, and recurrence rate (at 2 years follow up) were analyzed.
RESULTS
Six patients presented complete dislocation (non self-reducible), while 5 patients reported a history of repetitive subluxations that altered their quality of life. Arthroscopic eminoplasty showed great outcomes in terms of recurrence rate, complications related to surgery and hospital stay.
DISCUSSION
Arthroscopic eminoplasty represents a safe and effective technique to treat habitual dislocation of the TMJ. Moreover, the integrity of the TMJ capsule-ligament system is respected with this approach and this is extremely important in terms of joint stability.
目的
评估关节镜下髁突成形术治疗颞下颌关节（TMJ）习惯性脱位的有效性。
患者与方法
本研究基于对11例（20个关节）接受关节镜下髁突成形术治疗的TMJ慢性习惯性脱位患者的回顾性评估。分析术后最大开口度、与手术相关的并发症、术后住院时间以及复发率（随访2年）。
结果
6例患者表现为完全脱位（不可自行复位），而5例患者有反复半脱位病史，这改变了他们的生活质量。关节镜下髁突成形术在复发率、与手术相关的并发症和住院时间方面显示出良好的效果。
讨论
关节镜下髁突成形术是一种治疗TMJ习惯性脱位的安全有效的技术。此外，这种方法尊重了TMJ囊 - 韧带系统的完整性，这在关节稳定性方面极其重要。
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