DISKECTOMY IN TREATMENT OF INTERNAL DERANGEMENT OF THE TEMPOROMANDIBULAR-JOINT - FOLLOW-UP AT 1, 3, AND 5 YEARS
DISKECTOMY IN TREATMENT OF INTERNAL DERANGEMENT OF THE TEMPOROMANDIBULAR-JOINT - FOLLOW-UP AT 1, 3, AND 5 YEARS
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DOI：
10.1016/0030-4220(93)90250-8
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发表时间：
1993-09-01
影响因子：
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通讯作者：
AXELSSON, S
中科院分区：
文献类型：
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作者：
HOLMLUND, AB;GYNTHER, G;AXELSSON, S
在患有内部紊乱的患者中对无植入物的颞下颌关节盘切除术的疗效进行了临床评估。 72 名患者在术前和术后 1 年进行了检查； 40 例在术后 3 年接受检查，15 例在术后 5 年接受检查。成功率是根据美国口腔颌面外科协会 1984 年制定的标准的修订版计算的。 1年随访成功率为83%。 60 名患者的颞下颌关节疼痛得到缓解，咀嚼能力恢复正常。 12 名患者的结果被归类为不成功，主要是因为残余肌肉和关节疼痛。在 3 年随访中，只有两名患者被归类为不成功，而在 5 年随访中则没有一名患者被归类为不成功。不成功的患者比成功的患者出现肌肉酸痛和骨关节炎的频率更高。术后并发症很少见且轻微。
The efficacy of temporomandibular joint diskectomy without implants was evaluated clinically in patients with internal derangements. Seventy-two patients were examined preoperatively and 1 year postoperatively; 40 were also examined 3 years postoperatively and 15 at 5 years after surgery. Success rates were calculated according to a modification of the criteria established in 1984 by the American Association of Oral and Maxillofacial Surgery. The success rate was 83% at the 1-year follow-up. Temporomandibular joint pain was alleviated and chewing capacity was normalized in 60 patients. The outcome in 12 patients was classified as unsuccessful, mainly on the basis of residual muscle and joint pain. At the 3-year follow-up only two patients were classified as unsuccessful and none at the 5-year follow-up. Unsuccessful patients had higher frequencies of muscle soreness and osteoarthrosis than successful patients. Postoperative complications were infrequent and minor.