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一种用于治疗颞下颌关节内紊乱的外科技术。

A surgical technique for management of internal derangement of the temporomandibular joint.

作者信息

Walker R V, Kalamchi S

出版信息

J Oral Maxillofac Surg. 1987 Apr;45(4):299-305. doi: 10.1016/0278-2391(87)90347-8.

DOI:10.1016/0278-2391(87)90347-8
PMID:3470447
Abstract

A study was carried out on 50 patients who had undergone temporomandibular joint (TMJ) surgery because of chronic joint pain, limited mouth opening, and joint noise. These patients were diagnosed as having internal derangement (disc displacement) of the TMJ. The corrective surgical technique consisted of removing 2-4 mm of the top of the condyle, freeing of the displaced disc, and securely suturing it atop the condylar stump and to the lateral capsule. A three-month period of physiotherapy was done for all patients to rehabilitate the joint. Results have shown that the patients' preoperative signs and symptoms were resolved with no recurrence.

摘要

对50例因慢性关节疼痛、张口受限和关节弹响而接受颞下颌关节(TMJ)手术的患者进行了一项研究。这些患者被诊断为患有颞下颌关节内紊乱(盘移位)。矫正手术技术包括切除髁突顶部2 - 4毫米,松解移位的关节盘,并将其牢固地缝合在髁突残端顶部和外侧关节囊上。所有患者均进行了为期三个月的物理治疗以恢复关节功能。结果表明,患者术前的体征和症状均得到缓解,且无复发。

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