Temporomandibular joint discectomy for treatment of unilateral internal derangements--a 5 year follow-up evaluation.
Temporomandibular joint discectomy for treatment of unilateral internal derangements--a 5 year follow-up evaluation.
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颞下颌关节盘切除术治疗单侧内部紊乱——5 年随访评估。
DOI：
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发表时间：
2004
影响因子：
2.4
通讯作者：
B. Svensson
中科院分区：
文献类型：
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作者：
Jan Nyberg;R. Adell;B. Svensson
15例单侧颞下颌关节盘移位引起疼痛和功能障碍的全齿患者，接受了不成功的非手术治疗，接受了无任何椎间盘替代物的椎间盘切除术，并随访5年。他们的对侧颞下颌关节没有任何临床或影像学病理证据。功能性疼痛减轻，下颌骨张开能力增加，但未恢复全范围活动。这项研究证实，椎间盘切除术可以减少咀嚼疼痛，但是，休息时的疼痛没有显着变化。5年时，87%的患者符合TMJ手术成功的标准。
Fifteen fully dentated patients with pain and functional impairment due to unilateral temporomandibular joint disc displacements, who had undergone unsuccessful nonsurgical treatment, were treated with discectomies without any disc substitutes and followed for 5 years. Their contralateral temporomandibular joints were without any clinical or radiographic evidence of pathology. Functional pain was reduced and mandible opening ability increased although a full range of motion was not restored. This study verified that discectomies can reduce pain on chewing, however, pain at rest was not significantly changed. At 5 years 87% of the patients fulfilled the criteria for a successful result of TMJ surgery.