Kuwahara T, Bessette R W, Maruyama T
Department of Fixed Prosthodontics and Occlusion, Osaka University, Faculty of Dentistry, Japan.
Cranio. 1994 Jul;12(3):179-83. doi: 10.1080/08869634.1994.11678016.
A retrospective study on the results of temporomandibular joint (TMJ) surgery was performed in 74 patients with total menisectomy, 90 patients with partial menisectomy with disk repair, and 66 patients with arthroscopic lysis of adhesion and lavage of the joint space. TMJ pain during jaw movement, TMJ noise and maximum jaw opening was evaluated one year after surgery. TMJ pain and TMJ noise were significantly reduced by all three procedures. However, TMJ clicking was more significantly observed in patients with arthroscopy. Maximum jaw opening was significantly increased by all three procedures. However, maximum opening of patients with total menisectomy was significantly smaller than in the other two procedures.
对74例行全半月板切除术、90例行部分半月板切除术并进行盘状修复以及66例行关节镜下粘连松解和关节腔灌洗的患者进行了颞下颌关节(TMJ)手术结果的回顾性研究。术后一年评估下颌运动时的TMJ疼痛、TMJ弹响和最大开口度。所有三种手术均使TMJ疼痛和TMJ弹响显著减轻。然而,关节镜检查患者中TMJ弹响更为显著。所有三种手术均使最大开口度显著增加。然而,全半月板切除术患者的最大开口度明显小于其他两种手术。