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作者报导一例79岁的双侧颞下颌关节前脱位2月的女性患者,10年前曾经发生过一次脱位作过手法复位。本次脱位后,手法复位失败,用Fink 氏法复位。手术在安定静脉注射加1%赛洛卡因局麻下进行。在下颌切迹表面皮肤上作稍斜向前上的2厘米长切口(如图)。钝解剖纵行分开嚼肌纤维,暴露出下颌切迹。用一个拉钩钩住下颌切迹向前下牵引,使髁状突复位。这个操作在双侧进行。通过检查此病人全口托牙的咬(牙合)和术后X 线片,证实下颌已复位。术后经过顺利,无并发症。为防止再脱位,用弹性绷带限制张口一周,然后用颏托4月。
The authors report a female patient with a 79-year-old bilateral anterior dislocation of temporomandibular joint in February who had had a dislocation for 10 years prior to surgical resection. The dislocation, the failure to reset the way, with Fink's method of reset. Surgery in the stability of intravenous injection plus 1% of the local anesthesia to carry out. Make a slight incision on the surface of the mandibular notch 2 cm long incision (Figure). A blunt anatomic walk separates the muscle fibers, exposing the mandibular notch. Use a hook to hook the notch of the mandibular to pull forward and make the condyle reset. This operation is done on both sides. By examining this patient full denture bite (occlusal) and postoperative X-ray, confirmed mandibular reset. After surgery, no complications. In order to prevent further dislocation, with elastic bandage limit mouth one week, then use chin support April.