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颞颌关节不可复性盘移位的手术治疗

TMJ Surgery for Anterior Disk Displacement Without Reduction

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【作者】 胡勤刚沈言备叶炳飞储家琪

【Author】 Hu Qingang;Shen Yanbei;Ye Bingfeiet al (Department of Oral &Maxillofacial Surgery,Nanjing Stomatological Hospital)

【机构】 南京市口腔医院口腔颌面外科

【摘要】 报道9例颞颌关节不可复性盘移位经外科手术治疗的临床结果。8例患者采用关节盘双板区悬吊缝合和盘与外侧囊壁交叉适合,囊内髁状突高位切除治疗;1例行关节盘摘除阔筋膜植入术。术后随访6~18月,8例(8/9)症状消失或明显改善。手术治疗的关键在于复位关节盘的同时,避免术后被修复的关节盘与髁状突切除骨创面间形成纤维粘连。

【Abstract】 Abstract In this article it is reported that the clinical results of nine patients with anterior disk displacement without reduction treated with surgical procedure. The eight patients were operated with bilaminar zone suspension to its posterior temporalis fascia,cross-suture between disk and lateral capsule, and intra-capsular condylectomy; A patient, with meniscectomy with lata replacement. All the patients were postoperatively observed for 6 to 18 months,Eight of nine patients was freed from clinical symptoms or showed marked improvement.It is important on repositioning disk to avoid development of fibrous adhesions between the repaired disk and areas of condyle reduction postoperatively。

【关键词】 颞下颌关节关节盘移位外科手术
  • 【文献出处】 华西口腔医学杂志 ,WEST CHINA JOURNAL FOF STOMATOLOGY , 编辑部邮箱 ,1994年01期
  • 【分类号】R782.605
  • 【被引频次】1
  • 【下载频次】51
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