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颞下颌关节上、下关节腔关节镜手术的改良技术

A Modified Technique of Temporomandibular Joint Arthroscopic Operative Surgery of the Superior and Inferior Joint Spaces.

作者信息

Rosenbrg I, Goss A N

机构信息

St John of God, Mount Lawley Hospital, Mount Lawley, Australia.

Suite 11, Medical Centre, Ellesmere Road, Mount Lawley, WA 6050 Australia.

出版信息

J Maxillofac Oral Surg. 2020 Dec;19(4):561-570. doi: 10.1007/s12663-019-01291-0. Epub 2019 Sep 30.

Abstract

PURPOSE

This paper describes in detail the first author's technique of performing arthroscopic surgery in both the superior and inferior joint spaces of the temporomandibular joint.

METHODS

The key is careful measurement of sagittal and coronal tomograms to determine the individual size and shape of the joint. The joint is then distracted to allow 3-port video arthroscopy.

RESULTS

The detailed steps in the procedure are described and illustrated.

CONCLUSION

This modified technique is safe and allows procedures in both joint spaces and surgical access to the fossa, condyle and disc.

摘要

目的

本文详细描述了第一作者在颞下颌关节上、下关节间隙进行关节镜手术的技术。

方法

关键在于仔细测量矢状位和冠状位断层扫描,以确定关节的个体大小和形状。然后牵开关节以进行三通道视频关节镜检查。

结果

描述并说明了该手术的详细步骤。

结论

这种改良技术是安全的,可在两个关节间隙进行手术,并可进入关节窝、髁突和关节盘。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a42/7524981/ac4a29a3037b/12663_2019_1291_Fig1_HTML.jpg

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