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移位颞下颌关节半月板的半月板成形术,不侵犯关节下间隙。

Meniscoplasty of the displaced temporomandibular joint meniscus without violating the inferior joint space.

作者信息

Hall M B

出版信息

J Oral Maxillofac Surg. 1984 Dec;42(12):788-92. doi: 10.1016/0278-2391(84)90346-x.

Abstract

Twenty temporomandibular joints with anterior meniscus displacement, both with and without reduction, were treated by meniscoplasty of the superior lamina of the bilaminar zone through the superior joint space. Reduction of the eminence was also performed on each joint. All joints were judged markedly improved both by the surgeon and patients. With an average postoperative follow-up of 18.1 months, 13 (65%) of the joints were pain free and seven (35%) had mild, transient pain with prolonged hard chewing or prolonged wide mouth opening.

摘要

20个患有前半月板移位的颞下颌关节,包括有和没有复位的情况,通过上关节间隙对双板区上层进行半月板成形术进行治疗。每个关节还进行了髁突降低术。外科医生和患者均判断所有关节均有明显改善。术后平均随访18.1个月,13个(65%)关节无痛,7个(35%)在长时间用力咀嚼或长时间大张口时出现轻度、短暂的疼痛。

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