按压法在颞下颌关节前脱位复位中的应用

目的 探讨按压法在颞下颌关节前脱位中的应用。方法 本组26例,采取大拇指按压髁突前上缘,对颞下颌关节前脱位进行复位。结果 3例患者经3次复位成功,其余23例患者均1次复位成功,复位时间1～2 min。结论 按压法对颞下颌关节前脱位具有复位速度快,操作简便,并发症少,安全有效的特点。     

颞下颌关节前脱位的改良口外手法复位

颞下颌关节前脱位是口腔科常见急症。近年来,作者采用一种改良口外手法复位对62例颞下颌关节前脱位的患者进行复位,效果良好,报道如下。1临床资料1.1一般资料1996年10月-2004年11月,应用改良口外法复位颞下颌关节前脱位62例,其中男性23人,女性39人,年龄17～75岁。62例均为前脱位,其中双侧脱位者47例,单侧脱位者15例,急性脱位者36例,复发性脱位者26例。1.2复位方法复位前嘱患者尽量放松,消除其紧张情绪,取得患者的配合。请患者端坐在口腔治疗椅上(或普通无靠背座椅,后背及头部紧靠墙壁)。下颌牙合平面的位置应低于术者双臂下垂时肘关节水平。…     

颌间撬动法复位颞下颌关节脱位的临床效果评价

颞下颌关节前脱位临床上以急性和习惯性前脱位较常见。颞下颌关节脱位后,应及时复位。目前,治疗方法有口内法、口外法和颌间复位法等。我科自2007年11月以来,应用杠杆原理颌间撬动法复位颞下颌关节脱位病例78例,并利用调查表方式统计患者的主观评价。     

颞下颌关节侧向脱位的复位

目的探讨颞下颌关节侧向脱位的诊治方法。方法根据颞下颌关节侧向脱位临床特点,对诊断为颞下颌关节侧向脱位的3例患者在局部麻醉下采取一手压、一手推的手法复位。结果3例患者均1次复位成功。复位后面部形态、面肌紧张度、咬合关系即刻恢复。结论根据颞下颌关节侧向脱位临床特点明确诊断。采用正确的手法可获得良好的复位效果。     

颞下颌关节后脱位的复位

目的 探讨一种既简单又安全可靠的颞下颌关节后脱位的复位方法.方法 总结2例排除髁状突骨折的颞下颌关节后脱位病例资料,治疗采用鸭嘴形开口器置于患者的上下颌磨牙间,使磨牙间距达到1.5～2.0 cm,旋转开口器,使下颌骨向前移动,同时快速抽出开口器,使关节复位.结果 2例颞下颌关节后脱位患者复位效果均较满意.结论 该方法对不能用常规手法复位的颞下颌关节后脱位的复位安全有效,可控性较好.     

鸭嘴形开口器复位法治疗颞下颌关节脱位的临床应用

目的：介绍一种新的颞下颌关节脱位的复位方法。方法：185例（283侧）颞下颌关节前脱位，2例（3侧）颞下颌关节后脱位病例，应用鸭嘴形开口器置于脱位侧上下颌磨牙间，张大开口器，使磨牙间距达到1．5～2．0cm，然后旋转开口器，下颌关节前脱位者使下颌骨向后移位、下颌关节后脱位者使下颌骨向前移位，同时快速抽出开口器，使关节复位。结果：185例（283侧）颞下颌关节前脱位，2例（3侧）颢下颌关节后脱位病例的复位效果均满意。结论：该方法简便易行，可控性强，稳定性好，对不能用常规手法复位的病例同样安全有效。     

陈旧性颞下颌关节脱位口内外联合手法复位法(附4例报告)

陈旧性颞下颌关节脱位手法复位常比较困雅。近几年来,我们应用“口内外联合手法复位法”对4例陈旧性颞下颌关节前脱位患者实行手法复位,取得了满意效果。 临床资料 本组4例患者,均为双侧颞下颌关节前脱位,全部为老年,其中50—60岁3例,70岁1例;男性3     

颞下颌关节急性前脱位手法复位治疗的体会

应用口内法对80余例颞下颌关节急性前脱位进行了复位治疗和力学分析,根据牙列情况将颞下颌关节急性前脱位分成3种类型,各种脱位类型复位时使用了不同的手法,但均应用了杠杆原理。与常规复位手法比较,本文的改进方法明显缩短了手法复位的时间,提高了复位成功率。     

颞下颌关节前脱位的口外复位法

颞下颌关节前脱位在口腔科急诊中是不少见的,尤以老年者多见。我科自一九七三年起,在急诊颞下颌关节前脱位中,使用本文介绍的口外复位法,历经200余例,百分     

“分侧复位法”在颞下颌关节脱位中的应用与评价

对50例各类颞下颌关节脱位的患者使用"分侧复位法"进行颞下颌关节复位,1次成功49例、失败1例,无任何并发症发生,与传统的颞下颌关节复位术对比有操作简单、复位迅速、效果可靠、患者痛苦小等优点。     

基于生物力学分析的分侧口内外联合法 治疗颞下颌关节前脱位

目的 探讨分侧口内外联合法治疗颞下颌关节前脱位的临床效果。方法 利用口颌系统姿态肌链平衡理论对颞下颌关节复位过程进行生物力学分析,改进复位手法;运用分侧口内外联合法治疗87例颞下颌关节前脱位患者,对临床效果进行评价。结果 分侧口内外联合法可有效避免升颌肌群反射性收缩,提高复位效率;87例患者均成功复位,术程用力轻巧高效,髁突下降指征明确,患者并发症少。结论 分侧口内外联合法是一种高效、便捷、微创的颞下颌关节前脱位复位方法,在临床上有一定的推广应用价值。     

基于生物力学分析的分侧口内外联合法治疗颞下颌关节前脱位

目的 探讨分侧口内外联合法治疗颞下颌关节前脱位的临床效果。方法 利用口颌系统姿态肌链平衡理论对颞下颌关节复位过程进行生物力学分析,改进复位手法;运用分侧口内外联合法治疗87例颞下颌关节前脱位患者,对临床效果进行评价。结果 分侧口内外联合法可有效避免升颌肌群反射性收缩,提高复位效率;87例患者均成功复位,术程用力轻巧高效,髁突下降指征明确,患者并发症少。结论 分侧口内外联合法是一种高效、便捷、微创的颞下颌关节前脱位复位方法,在临床上有一定的推广应用价值。     

颞下颌关节疾病的外科手术治疗

目的 :颞下颌关节疾病的治疗包括保守治疗和外科手术治疗 ,本研究目的是探讨颞下颌关节疾病外科手术治疗的适应证以及手术方法。方法 :对 1988年至 2 0 0 0年共收治的 76 5例颞下颌关节疾病患者进行回顾性研究。其中颞下颌关节紊乱病患者共 4 18例 ,颞下颌关节外伤 15 9例 ,颞下颌关节强直 131例 ,髁状突肥大 38例 ,颞下颌关节肿瘤 18例 ,颞下颌关节感染 1例 ,其中 6 37例进行了外科手术治疗。结果 :颞下颌关节紊乱病患中 2 18例行颞下颌关节内窥镜术 ,2 1例行颞下颌关节盘复位术 ,91例行颞下颌关节盘修补术 ,11例行陈旧性关节脱位开放复位术 ;131例行颞下颌关节成形术 ;10 9例行髁状突骨折开放复位术 ;38例行髁状突截骨术和正颌手术 ;18例行颞下颌关节肿瘤切除术。结论 :颞下颌关节紊乱病、损伤、关节强直、肿瘤、畸形以及其他关节疾病的手术适应证范围在不断地扩大 ,颞下颌关节外科的手术方法也在不断地改良。颞下颌关节外科手术治疗正向着微创和恢复关节功能的方向发展     

Condylectomy: treatment of recurrent unilateral dislocation of the temporomandibular joint in a patient with Ehlers-Danlos syndrome

We report the use of unilateral condylectomy to treat the recurrent dislocation of the temporomandibular joint (TMJ) in a 21-year-old woman with Ehlers-Danlos syndrome. Eighteen months after operation the patient had no further dislocation on full mouth opening, and no surgical complications.     

Incidence of temporomandibular joint disorders in patients seen at a hospital emergency room

A retrospective survey of a hospital emergency room population seen at an oral and maxillofacial surgery clinic during a 6-month period found 62 patients (2.7% of the total population) with temporomandibular joint disorders. The diagnoses were myofascial pain-dysfunction/temporomandibular joint dysfunction (MPD/TMJ) syndrome (70.9% of the cases) and dislocation (luxation) (22.5% of the cases).
The chief complaint was well defined in relation to the diagnoses: facial pain in the MPD/TMJ syndrome cases, and displacement of the mandible in the dislocation cases.     

Traumatic Arthritis Associated with Acute Dislocation of the TMJ: A Case Report

An unusual case of traumatic arthritis associated with acute dislocation of the temporomandibular joint (TMJ), successfully treated by arthroscopy, is reported. The intraarticular pathology is described and the management of arthroscopic lysis and lavage for traumatic arthritis of the TMJ is discussed.     

Traumatic arthritis associated with acute dislocation of the TMJ: a case report

An unusual case of traumatic arthritis associated with acute dislocation of the temporomandibular joint (TMJ), successfully treated by arthroscopy, is reported. The intraarticular pathology is described and the management of arthroscopic lysis and lavage for traumatic arthritis of the TMJ is discussed.     

Management of long-standing mandibular dislocation

Long-standing dislocation of the temporomandibular joint (TMJ) is rare. The management of this disorder is still controversial. This paper presents the authors’ experience of managing long-standing dislocation of the TMJ, and their attempt to develop guidelines for the management of this problem. They also show magnetic resonance images of two patients with long-standing dislocation of the TMJ.     

髁状突骨折与颞颌关节骨性强直关系的初步探讨

目的　探讨髁状突骨折与发生颞颌关节骨性强直的关系。方法　对 2 8例有髁状突骨折病史的颞颌关节骨性强直患者 ,术前拍颞下颌骨全景X线片 ,CT横断或冠状扫描 ,部分病侧同时行二维和三维重建 ,并与外伤后X线片对照。在施行颞颌关节成形关节重建术中 ,采用颧弓根水平高位截骨 ,探查髁状突和关节盘的存在。结果　 2 8例伤后的X线片均提示 :发生颞颌关节强直的病例为髁状突高位 (囊内 )横断骨折。而且 ,髁状突骨折块移位大 ,下颌升支明显上移。术前冠状CT显示髁状突移位于关节骨性强直区的内侧 ,上移的下颌升支与关节窝骨性融合。术中探查发现 2 0例 2 2侧有明显移位的完整的髁状突和关节盘。结论　在髁状突颈部高位 (囊内 )横断骨折病例 ,若髁状突骨折块发生严重移位、脱出关节窝外 ,可同时伴发关节盘移位。而下颌升支则在升颌肌群牵引下明显上移 ,形成对关节窝的继发损伤 ,最终导致颞颌关节骨性强直。对该类髁状突骨折应积极开放复位固定     

Radiographic signs in the temporomandibular and hand joints in patients with psoriatic arthritis

The temporomandibular (TMJ) and hand joints of 64 patients with psoriatic arthritis (PA) were examined radiographically with panoramic tomography and dorsovolar projection. The associations between radiographic signs in the condyle of the TMJ and finger joints were analyzed with Pearson's product-moment correlation coefficient. Twenty-six patients (41%) had radiographic signs in their TMJs. Arthritic signs were seen in 14 (22%) and degenerative signs in 12 (19%) patients. Fifty-five patients (86%) had radiographic signs in their hands; 33 patients (52%) had arthritic and 22 (34%) degenerative signs. In the TMJ statistically significant correlations were found among erosion, flattening, and cortical sclerosis and also between osteophyte and cortical sclerosis. In the finger joints erosion correlated significantly with dislocation and loss of space. Erosion in the condyle of the TMJ was the only sign that correlated with changes in the finger joints such as erosion, dislocation, and ankylosis. Erosion in the TMJ also correlated with erosion in the metacarpophalangeal joint and wrist.