Dahl M, Sindet-Pedersen S, Jensen J, Cosentino S J
Department of Oral and Maxillofacial Surgery, University Hospital of Aarhus, Denmark.
Oral Surg Oral Diagn. 1992;3:19-25.
This paper reviews the indications, technique and results of arthroscopy of the human TMJ. Our results in arthroscopic treatment of 36 patients (48 joints) are reported and the results are comparable with previously reported results. Mainly internal derangements with closed lock and preauricular pain have been treated and in all cases a single puncture technique followed by a blunt sweep procedure was used. All patients have before arthroscopy received a conservative treatment with insufficient result. It is concluded that arthroscopy is an excellent tool in diagnosis and treatment of TMJ disorders. However TMJ arthroscopy should be regarded as a supplement to conventional therapy and an alternative to open joint surgery.
本文综述了人体颞下颌关节关节镜检查的适应症、技术及结果。报告了我们对36例患者（48个关节）进行关节镜治疗的结果，这些结果与先前报道的结果相当。主要治疗了伴有闭口绞锁和耳前疼痛的关节内紊乱，所有病例均采用单穿刺技术，随后进行钝性清扫操作。所有患者在关节镜检查前均接受过保守治疗，但效果不佳。结论是，关节镜检查是诊断和治疗颞下颌关节疾病的一种优秀工具。然而，颞下颌关节镜检查应被视为传统治疗的补充和开放性关节手术的替代方法。
