关节镜下松解灌洗治疗颞下颌关节紊乱症的并发症：单机构经验及文献复习。
Complications of arthroscopic lysis and lavage in internal derangement of the temporomandibular joint - A single institutional experience with review of literature.
机构信息
Department of Oral and Maxillofacial Surgery, Government Dental College, Kottayam, Kerala, India.
Department of Oral and Maxillofacial Surgery, Government Dental College, Kottayam, Kerala, India.
出版信息
J Stomatol Oral Maxillofac Surg. 2022 Nov;123(6):691-696. doi: 10.1016/j.jormas.2022.06.024. Epub 2022 Jun 27.
PURPOSE
To evaluate the complications of arthroscopic lysis and lavage with joint sweep (ALL) procedure in the management of disc derangement of the temporomandibular joint.
METHODS
Patients with internal derangement of the TMJ who were treated by ALL in a tertiary institution from July 2018 to December 2021 were studied retrospectively.
RESULTS
The study included 39 patients (males, n = 14; females, n = 25) and 50 joints. The complications observed in the study were classified into intra and post operative complications. Post operative complications such as pain (16%), swelling (6%), reduced mouth opening (22%) and neurological complications were the most commonly observed ones. Rare complications such as ipsilateral palatal swelling (6%), parapharyngeal swelling (4%), and post operative malocclusion (2%) were also observed.
CONCLUSION
Although the complications of ALL are entirely unavoidable, their incidence can be reduced by strict adherence to standard techniques. Three-dimensional awareness and orientation of the dangerous angles and depth around the TMJ region is mandatory to reduce the complications.
目的
评估关节镜松解和冲洗联合关节清扫术（ALL）治疗颞下颌关节盘移位的并发症。
方法
回顾性研究 2018 年 7 月至 2021 年 12 月在一家三级医院接受 ALL 治疗的 TMJ 内紊乱患者。
结果
该研究纳入 39 例患者（男性 n=14，女性 n=25）和 50 个关节。研究中观察到的并发症分为术中及术后并发症。术后并发症如疼痛（16%）、肿胀（6%）、张口受限（22%）和神经并发症是最常见的。还观察到一些罕见的并发症，如同侧腭部肿胀（6%）、咽旁肿胀（4%）和术后错颌（2%）。
结论
尽管 ALL 的并发症完全不可避免，但通过严格遵守标准技术，可以降低其发生率。必须对 TMJ 区域周围的危险角度和深度有三维意识和定向，以减少并发症。
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