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在颞颌关节功能紊乱患者中,有一小部份保守治疗无效,有持续疼痛和张口受限。作者选择的手术指征是:颞颌关节疼痛,经至少半年的治疗仍无效果者。关节疼痛表现在大张口或紧咬时,或大张口、紧咬时均存在。关节X线片表现为退变性关节病,疑有关节盘脱位。接受手术治疗者33例,其中女32例。年龄17～43岁。12例双侧,21例单侧,共45侧关节,其中左侧20例,右侧25例。2侧曾作超高位髁突切除手术治疗。全部病员均接受过矫形治疗,戴用下颌或上颌塑料(牙合)垫,并已
In patients with TMJ dysfunction, a small number of conservative treatment is ineffective, with persistent pain and limited mouth opening. The surgical indications chosen by the author were temporomandibular joint pain and no effect after at least six months of treatment. Joint pain in the performance of large mouth or tight bite, or large mouth, when bite are present. Joint X-ray showed degenerative joint disease, suspected dislocation of the disc. Thirty-three patients underwent surgery, including 32 females. Age 17 ~ 43 years old. Twelve cases were bilateral, 21 cases were unilateral, a total of 45 joints, of which 20 cases on the left and 25 cases on the right. 2 side had super-condylar excision surgery. All patients have received orthopedic treatment, wearing a mandibular or maxillary plastic (occlusal) pad, and