Goudot P
Orthod Fr. 1998;69(1):61-7.
The temporomandibular joint surgery is developing towards less invasive procedures. Open surgery provides a lot of complications. Arthroscopy is now almost the only common used procedure, especially lysis and lavage. Arthrocentesis provides good results too. However, careful preoperative and appropriate nonsurgical care are essential. Only 5 and 7% of the patients who are treated for TMJ disorders and dentofacial deformity, TMJ surgery precedes surgical/orthodontic treatment.
颞下颌关节手术正朝着侵入性更小的手术方式发展。开放性手术会引发诸多并发症。关节镜检查如今几乎是唯一常用的手术方式，尤其是松解和灌洗术。关节穿刺术也能取得良好效果。然而，细致的术前准备和恰当的非手术治疗至关重要。在接受颞下颌关节紊乱和牙颌面畸形治疗的患者中，仅有5%和7%的患者在手术/正畸治疗之前先进行了颞下颌关节手术。
