Bertrand J C
Ann Otolaryngol Chir Cervicofac. 1981;98(10-11):531-4.
Temporomandibular luxations present variable aspects, from blocked anterior luxations to those with a tendency for recurrence: luxations associated with condylar fractures from a particular entity, an epiphenomenon within the context of a fracture. Blocked dynamic anterior luxations are rare accidents requiring early reduction, usually possible by employing Nelson's classical manoeuvre under a local anaesthetic. Therapy of recurrent and typical luxations raises more complex therapeutic problems, opposing those conducting early systematic surgery and those performing occlusal re-equilibration. The latter appears to be the most reliable method, surgery being a last resort if properly conducted re-equilibration fails.
颞下颌关节脱位呈现出多种情况，从闭锁性前脱位到有复发倾向的脱位：与髁突骨折相关的脱位属于一种特殊情况，是骨折背景下的一种附带现象。闭锁性动态前脱位是罕见的意外情况，需要早期复位，通常在局部麻醉下采用尼尔森经典手法即可实现复位。复发性和典型性脱位的治疗引发了更复杂的治疗问题，存在早期进行系统手术和进行咬合重新平衡治疗两种观点的对立。后者似乎是最可靠的方法，如果适当进行的咬合重新平衡治疗失败，手术则是最后的手段。
