EFFICACY OF ARTHROSCOPIC LYSIS AND LAVAGE IN PATIENTS WITH CHRONIC LOCKING OF THE TEMPOROMANDIBULAR-JOINT
EFFICACY OF ARTHROSCOPIC LYSIS AND LAVAGE IN PATIENTS WITH CHRONIC LOCKING OF THE TEMPOROMANDIBULAR-JOINT
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DOI：
10.1016/s0901-5027(05)80104-3
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发表时间：
1994-10-01
影响因子：
2.4
通讯作者：
AXELSSON, S
中科院分区：
文献类型：
--
作者：
HOLMLUND, A;GYNTHER, G;AXELSSON, S
这项前瞻性1年随访研究了颞下颌关节松解和灌洗与关节镜诊断相关的疗效。该研究包括42名患者。在术前和术后1年内定期进行临床评价。所有患者均在局部麻醉下进行诊断性关节镜检查和随后立即进行松解和灌洗。仅进行了单侧上室关节镜检查。根据1984年美国口腔颌面外科医师协会标准对结果进行评价。30个关节（71%）在关节镜下诊断为骨关节病，其中21个（70%）有更明显的变化。39个关节（93%）诊断为滑膜炎，主要为轻度局部型。12例（31%）关节镜下发现更明显的滑膜炎。20个关节（48%）出现粘连，与关节显示骨关节病显著相关（P
This prospective 1-year follow-up investigated the efficacy of temporomandibular joint lysis and lavage in relation to arthroscopic diagnoses. The study comprised 42 patients. Clinical evaluation was performed before surgery and at regular intervals up to 1 year postoperatively. Diagnostic arthroscopy and immediately subsequent lysis and lavage were performed under local anesthesia in all patients. Only unilateral upper compartment arthroscopies were executed. The results were evaluated according to the 1984 criteria of the American Association of Oral and Maxillofacial Surgeons. Osteoarthrosis was diagnosed arthroscopically in 30 joints (71%), 21 of which (70%) had more pronounced changes. Synovitis, mainly of a mild, localized type, was diagnosed in 39 joints (93%). More pronounced synovitis was found arthroscopically in 12 (31%). Adhesions were found in 20 joints (48%) and were significantly correlated with joints displaying osteoarthrosis (P