Westesson P L, Eriksson L, Liedberg J
Oral Surg Oral Med Oral Pathol. 1986 Aug;62(2):124-7. doi: 10.1016/0030-4220(86)90028-9.
The risk of complications occurring during arthroscopic examination of the temporomandibular joint is not well documented. We therefore performed arthroscopic examinations of the upper compartment of the temporomandibular joint of fresh cadavers and during subsequent dissection studied possible damage to the facial nerve, superficial temporal vessels, disk, and articular surfaces. Damage to the facial nerve was not seen in any joint. The distance between the puncture site and any branch of this nerve was 3 mm or more in all but one of the specimens. The puncture site was repeatedly located immediately adjacent to the superficial temporal vessels, but damage to these vessels was not seen in any case. Scratch marks on the articular surfaces resulting from intra-articular manipulations with the instrument were seen in more than half of the joints. It was concluded that the risk of damage to the facial nerve or the superficial temporal vessels during arthroscopy of the temporomandibular joint is small. There is, however, a risk of damage to the articular surfaces. The frequency of this type of injury can probably be reduced in patients by sufficiently distending the joint before the instrument is inserted.
颞下颌关节关节镜检查期间发生并发症的风险尚无充分记录。因此，我们对新鲜尸体的颞下颌关节上腔进行了关节镜检查，并在随后的解剖过程中研究了面神经、颞浅血管、关节盘和关节面可能受到的损伤。在任何关节中均未发现面神经损伤。除一个标本外，所有标本的穿刺点与该神经的任何分支之间的距离均为3毫米或以上。穿刺点反复紧邻颞浅血管，但在任何情况下均未发现这些血管受损。超过一半的关节可见因器械进行关节内操作而在关节面上留下的划痕。得出的结论是，颞下颌关节镜检查期间面神经或颞浅血管受损的风险较小。然而，存在关节面受损的风险。通过在插入器械前充分扩张关节，可能会降低患者此类损伤的发生率。
