Arthrotomography of the temporomandibular joint: new technique and preliminary observations.
Arthrotomography of the temporomandibular joint: new technique and preliminary observations.
复制标题
颞下颌关节的关节断层扫描：新技术和初步观察。
DOI：
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发表时间：
1979
期刊：
影响因子：
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通讯作者：
C. Helms
中科院分区：
文献类型：
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作者：
R. Katzberg;M. Dolwick;D. Bales;C. Helms
本文描述了一种使用多向断层扫描的颞下颌关节摄影技术，该技术大大简化了解释。在21次尝试中，有20例对保守治疗无效的患者主诉疼痛、压痛、关节咔哒和锁定，获得了成功的关节造影。异常表现为半月板穿孔、前位脱位和半月板半脱位；和双层区域的冗余。在所有接受手术半月板成形术的11例患者中，椎间盘异常包括变薄、穿孔、松弛和双椎板冗余。关节造影手术无永久性并发症发生，但术后经常出现暂时性不适。颞下颌关节断层扫描的初步经验表明，这种易于操作的方法提供了关于椎间盘功能和完整性的可靠信息，可以帮助选择半月板成形术和其他手术治疗的患者。
A technique for arthrography of the temporomandibular joint using multidirectional tomography is described that greatly simplifies interpretation. In 21 attempts, 20 successful arthrograms were obtained in patients complaining of pain, tenderness, and clicking and locking of the joint who had not responded to conservative therapy. Abnormalities demonstrated were perforation of the meniscus, anterior dislocation and subluxation of the meniscus; and redundancy of the bilaminar zone. In all 11 patients who underwent surgical meniscoplasty, disc abnormalities included thinning, perforation, flaccidity, and bilaminar redundancy. No permanent complications of the arthrographic procedure occurred, but temporary postprocedure discomfort was frequent. This preliminary experience with temporomandibular joint arthrotomography suggests this easily performed procedure offers reliable information about disc function and integrity that may assist in a selection of patients for meniscoplasty and other surgical treatment.