Chausse J M, Richter M, Bettex A
J Craniomaxillofac Surg. 1987 Jun;15(3):137-40. doi: 10.1016/s1010-5182(87)80038-0.
Temporomandibular dislocation and subluxation are two pathological situations both characterized by hypermobility of the condyle. We believe that when luxation is recurrent and when subluxation becomes painful or is accompanied by disc dysfunction, surgical intervention is indicated. We are impressed by Gosserez and Dautrey's (1967) method of augmentation of the tubercle, or extra-articular obstruction, which is a modification of Leclerc and Girard's (1943) original procedure. The advantages of this technique are described and results are based on a series of 38 patients.
颞下颌关节脱位和半脱位是两种均以髁突活动度过大为特征的病理情况。我们认为,当脱位反复发生以及半脱位变得疼痛或伴有盘状结构功能障碍时,就需要进行手术干预。戈塞雷和多特雷(1967年)的结节增大术或关节外阻挡术给我们留下了深刻印象,该手术是对勒克莱克和吉拉尔(1943年)原手术方法的改良。本文描述了该技术的优点,并给出了基于38例患者的治疗结果。