Bellot V, Chossegros C, Cheynet F, Pauzie F, Aldegheri A
Service de Chirurgie Maxillo-Faciale et Stomatologie, Centre Hospitalier et Universitaire de la Timone, Marseille.
Rev Stomatol Chir Maxillofac. 1996 Oct;97(5):308-12.
We report a prospective study of thirty four therapeutic temporomandibular arthroscopies that were done during a 24 months period for patients with debilitating joint disorders (mainly disc displacements with or without reduction) who had not responded to no-invasive treatment. The technics used were lysis and lavage with prediscal section and retrodiscal coagulation. Analysis of the results indicated subjective lessening of pain in 71% of cases, noise in 78% (with objective evidence of disappearance of noise in 29%), jaw opening in 94% (mean 9.4 mm) and diet in 97% (mean 9.4 mm). In jaw opening, improvement was highly significant, compared with the preoperative results, p < 0.01. We conclude that temporomandibular arthroscopy is safe and indicated in disc displacements and joint luxation if medical treatment has failed.
我们报告了一项前瞻性研究，该研究对34例在24个月内接受治疗性颞下颌关节镜检查的患者进行了观察，这些患者患有使人衰弱的关节疾病（主要是伴或不伴可复性的盘移位），且对非侵入性治疗无反应。所采用的技术包括盘前松解、灌洗以及盘后凝固。结果分析表明，71%的病例主观疼痛减轻，78%的病例关节弹响减轻（其中29%有客观证据表明弹响消失），94%的病例张口度改善（平均增加9.4毫米），97%的病例饮食状况改善（平均改善9.4毫米）。与术前结果相比，张口度的改善非常显著，p<0.01。我们得出结论，如果药物治疗失败，颞下颌关节镜检查对于盘移位和关节脱位是安全有效的，可作为一种治疗手段。
