Dolwick M F, Aufdemorte T B
Oral Surg Oral Med Oral Pathol. 1985 May;59(5):449-52. doi: 10.1016/0030-4220(85)90079-9.
Eight patients with previously placed silicone temporomandibular joint (TMJ) implants were operated on again. Excised tissues from in and around the joint were histologically evaluated. In one case, a parotid lymph node was also examined. All specimens revealed fragmented, amorphous, refractile, but nonbirefringent, irregularly spherical foreign material consistent with fragmented silicone. Granulomatous inflammation and multinucleated giant cells were associated with the silicone material. These findings demonstrated that silicone may not be a totally inert material and that its biomechanical properties are not ideal for use in the TMJ.
八名先前植入硅橡胶颞下颌关节（TMJ）植入物的患者再次接受手术。对关节内部及周围切除的组织进行了组织学评估。在一个病例中，还检查了一个腮腺淋巴结。所有标本均显示出与破碎硅橡胶一致的碎片状、无定形、折光性强但无双折射的不规则球形异物。肉芽肿性炎症和多核巨细胞与硅橡胶材料有关。这些发现表明，硅橡胶可能不是一种完全惰性的材料，其生物力学性能并不适合用于颞下颌关节。
