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颞下颌关节内紊乱的关节盘切除术和半月板缝合术。原理与手术技术。

Eminectomy and meniscorhaphy for internal derangements of the temporomandibular joint. Rationale and operative technique.

作者信息

Weinberg S

出版信息

Oral Surg Oral Med Oral Pathol. 1984 Mar;57(3):241-9. doi: 10.1016/0030-4220(84)90177-4.

DOI:10.1016/0030-4220(84)90177-4
PMID:6584814
Abstract

To date, most reports of surgical procedures to correct anterior meniscal displacement have focused on excision and repair of redundant posterior attachment tissue in conjunction with some form of arthroplasty. A procedure involving direct plication of the fibrous disk to the articular capsule (meniscorhaphy) and excision of the articular eminence (eminectomy) has yielded good results in most of the thirty-three patients with internal TMJ derangements on whom this operation has been performed within the past 44 months. The procedure is uncomplicated and physiologically sound, and it satisfies the concept of intracapsular decompression which is developed and described in this article. When surgical intervention is indicated for patients with internal TMJ derangements, eminectomy and meniscorhaphy should be given strong consideration.

摘要

迄今为止,大多数关于纠正半月板前移位手术的报告都集中在切除和修复多余的后附着组织,并结合某种形式的关节成形术。在过去44个月内,对33例颞下颌关节内紊乱患者实施了一种将纤维盘直接折叠至关节囊(半月板缝合术)并切除关节结节(结节切除术)的手术,大多数患者取得了良好效果。该手术操作简单,生理上合理,符合本文提出并描述的关节囊内减压概念。当颞下颌关节内紊乱患者需要手术干预时,应充分考虑结节切除术和半月板缝合术。

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Eminectomy and meniscorhaphy for internal derangements of the temporomandibular joint. Rationale and operative technique.颞下颌关节内紊乱的关节盘切除术和半月板缝合术。原理与手术技术。
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