TMJ inferior compartment arthroplasty procedure through a 25-year follow-up (functional arthroplasty).

Annali di stomatologia Pub Date : 2017-01-10 eCollection Date: 2016-07-01 DOI:10.11138/ads/2016.7.3.060

Piero Cascone, Valerio Ramieri, Paolo Arangio, Valentino Vellone, Achille Tarsitano, Claudio Marchetti

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Abstract

Objective: The purpose of this study was to assess the outcomes of temporomandibular joint (TMJ) "functional arthroplasty" on the inferior compartment and disc reposition as a surgical treatment for internal derangement (ID).

Patients and methods: By retrospective chart review, all patients who had TMJ surgery on the inferior compartment for TMJ ID from 1985 to 2010 were identified. Their charts were reviewed and subjective data as well as objective data was collected.

Results: The chart review yielded 352 patients treated through this approach for a total of 696 joints involved. Analysis of the data showed that there was a good health improvement. The mid VAS about pre surgical TMJ pain was 58.3, after surgery 7.7. About headache and cervical pain the pre surgery mid VAS was 47.7, after surgery 16.7.

Conclusions: Outcome data presented show that TMJ surgery on the inferior compartment and disc reposition could be an effective and successful surgical treatment of TMJ ID. This success has been seen and maintained also in long term follow up in this specific patient population. For this reason, we propose to call this procedure "functional arthroplasty".

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颞下颌关节下腔关节置换术（功能性关节置换术），随访 25 年。

研究目的本研究旨在评估颞下颌关节（TMJ）下腔 "功能性关节成形术 "和椎间盘复位术作为内失调（ID）手术治疗方法的效果：通过回顾性病历审查，确定了1985年至2010年期间因颞下颌关节内翻症而接受颞下颌关节手术的所有患者。对他们的病历进行审查，并收集主观数据和客观数据：结果：病历审查结果显示，有 352 名患者通过这种方法接受了治疗，共涉及 696 个关节。数据分析显示，患者的健康状况得到了很好的改善。手术前颞下颌关节疼痛的 VAS 中值为 58.3，手术后为 7.7。关于头痛和颈椎痛，手术前的 VAS 中值为 47.7，手术后为 16.7：结果数据显示，颞下颌关节手术和椎间盘复位是治疗颞下颌关节内翻症有效且成功的手术方法。在对这一特殊患者群体的长期随访中，我们也看到并保持了这种成功。因此，我们建议将这种手术称为 "功能性关节成形术"。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Annali di stomatologia

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