Nelson C L, Hutton C E
Oral Surg Oral Med Oral Pathol. 1981 Apr;51(4):351-4. doi: 10.1016/0030-4220(81)90141-9.
Seventeen patients were asked to make a subjective evaluation of their condition after having had a mandibular condylectomy performed. Fourteen of seventeen felt that the surgical procedure had cured their symptoms of pain and limitation of motion. Surgical procedures on the temporomandibular joint are valid when there is organic disease of the temporomandibular joint. However, care must be taken to differentiate between organic disease and the so-called myofascial pain dysfunction syndrome, since surgery is considered inappropriate for the myofascial pain dysfunction syndrome. Even in cases of organic joint disease, care must be taken to identify any existing emotional problems that the patient may have. In cases of organic joint disease with strong psychological overtones, surgical intervention alone may not be enough to relieve the patients of their temporomandibular joint symptoms.
17名患者在接受下颌髁突切除术后被要求对自身状况进行主观评估。17名患者中有14名认为手术缓解了他们的疼痛症状和活动受限问题。当颞下颌关节存在器质性疾病时，颞下颌关节手术是有效的。然而，必须注意区分器质性疾病和所谓的肌筋膜疼痛功能障碍综合征，因为手术被认为不适用于肌筋膜疼痛功能障碍综合征。即使在器质性关节疾病的情况下，也必须注意识别患者可能存在的任何情绪问题。在伴有强烈心理暗示的器质性关节疾病病例中，仅靠手术干预可能不足以缓解患者的颞下颌关节症状。
