Widmark G, Kahnberg K E, Haraldson T, Lindström J
Department of Oral and Maxillofacial Surgery, Mölndals Hospital, Sweden.
Cranio. 1995 Jan;13(1):44-9. doi: 10.1080/08869634.1995.11678042.
The aim of the study was to evaluate the treatment outcome after temporomandibular joint (TMJ) surgery, which was performed in 33 patients (27 women and six men) between 1970 and 1986. Before surgery, the patients received different types of conservative treatment for an average time of 29 months. The most common diagnosis was anterior disk displacement (ADD) with or without reduction (n = 10), followed by unspecified arthralgia (n = 8), osteoarthrosis (n = 7) and ankylosis (n = 4). Standardized clinical records served as the basis for comparison of symptomatology at comparable time points. Furthermore, 31 of the 33 patients were subjected to a clinical follow-up, including anamnestic, clinical, radiological and cast analysis, 2-17 years after operation. Pain, sleeping problems and consumption of analgesics were significantly reduced after surgery. The anamnestic, as well as the clinical dysfunction indices, according to Helkimo, were also significantly reduced. TMJ clicking was reduced, but crepitations increased in number. The best improvements were seen in patients with ADD without reduction and in patients with ankylosis.
本研究旨在评估颞下颌关节（TMJ）手术后的治疗效果，该手术于1970年至1986年间在33例患者（27例女性和6例男性）中进行。手术前，患者接受了不同类型的保守治疗，平均时间为29个月。最常见的诊断是伴或不伴复位的关节盘前移位（ADD）（n = 10），其次是未明确的关节痛（n = 8）、骨关节炎（n = 7）和关节强直（n = 4）。标准化的临床记录作为在可比时间点比较症状的基础。此外，33例患者中的31例在术后2至17年接受了临床随访，包括问诊、临床检查、影像学检查和模型分析。术后疼痛、睡眠问题和镇痛药的使用显著减少。根据Helkimo的问诊及临床功能指数也显著降低。TMJ弹响减少，但摩擦音数量增加。在未复位的ADD患者和关节强直患者中改善最为明显。
