关节镜下颞下颌关节钢丝固定术的临床评价

Abanoub Sliem, Ahmed Barakat, S. Mekhemer, R. Hossameldin
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引用次数: 0

摘要

前盘移位是最常见的颞下颌关节(TMJ)疾病之一,常导致咔嗒声、关节疼痛、活动范围受限和咀嚼困难。方法4例(共6个关节)患者有明显的疼痛和功能障碍,非手术治疗无效,在关节镜下用金属丝固定椎间盘复位3周后取出,患者继续使用咬合夹板。结果术后6个月最大切口开口(MIO)明显升高,视觉模拟评分(VAS)疼痛感明显降低。结论关节镜下颞下颌关节盘复位是一种微创治疗一些传统保守治疗难治性颞下颌关节内部紊乱的有效方法
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Clinical Assessment Of Arthroscopic Temporomandibular Joint Clinical Assessment Of Arthroscopic Temporomandibular Joint Discopexy Using Wire Fixation Technique
Introduction Anterior disc displacement is one of the most frequent temporomandibular joint (TMJ) disorders, which often results in clicking, joint pain, a limited range of motion and masticatory difficulties.Methodology Four subjects (with a total number of six joints) who had significant pain and dysfunction that did not respond to non-surgical therapy, went into arthroscopic disc repositioning using wire fixation for 3 weeks then it was removed, and the patient continued on occlusal splints.Results After six months postoperatively, there was a significant increase in the MIO (Maximum incisal opening) and an insignificant decrease in the pain perception in the VAS (visual analogue scale) Conclusion The study concluded that arthroscopic temporomandibular joint disc repositioning is an effective minimally invasive procedure for the treatment of some temporomandibular joint internal derangements refractory to conventional conservative therapy in regards to clinical outcomes
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