Endoscopic-Assisted Repair of Spontaneous Temporomandibular Joint Herniation Through a Transcanal Approach
Endoscopic-Assisted Repair of Spontaneous Temporomandibular Joint Herniation Through a Transcanal Approach
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经椎管入路内镜辅助修复自发性颞下颌关节突出症
DOI：
10.1097/mao.0000000000002278
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发表时间：
2019
影响因子：
2.1
通讯作者：
Liu Yuehui
中科院分区：
文献类型：
--
作者：
Xie Bingbin;Zhang Shaorong;Liu Yuehui
目的：报告自发性颞下颌关节（TMJ）疝的表现、诊断和治疗。患者：69岁男性，患有自发性TMJ疝。干预措施：诊断评估和手术方法。主要结果测量：影像学、内科和外科治疗结果。结果：随访14个月时，患者报告耳鸣改善，检查无肥厚性瘢痕或椎管狭窄的证据，TMJ疝无复发，无耳突、耳痛体征; TMJ功能正常。结论：采用耳内窥镜经鼻入路修复自发性颞下颌关节疝的优点包括手术视野的高清视频，微创，术后美容效果好。
Objective:To report of the presentation, diagnosis, and management of a spontaneous temporomandibular joint (TMJ) herniation.Patients:A 69-year-old man with a spontaneous TMJ herniation.Interventions:Diagnostic evaluation and surgical approaches.Main Outcome Measures:Imaging, and medical and surgical treatment outcomes.Results:At 14 months follow-up, the patient reported improved tinnitus and on examination there was no evidence of a hypertrophic scar or canal stenosis, no recurrence of TMJ herniation, no signs of otorrhea, otalgia; and with normal TMJ function.Conclusions:The advantages of repairing spontaneous TMJ herniation through a transcanal approach using oto-endoscopy include a high definition video of surgical field, minimal invasiveness, and good postoperative cosmetic outcome.