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报道9例颞颌关节不可复性盘移位经外科手术治疗的临床结果。8例患者采用关节盘双板区悬吊缝合和盘与外侧囊壁交叉适合,囊内髁状突高位切除治疗;1例行关节盘摘除阔筋膜植入术。术后随访6~18月,8例(8/9)症状消失或明显改善。手术治疗的关键在于复位关节盘的同时,避免术后被修复的关节盘与髁状突切除骨创面间形成纤维粘连。
Reported 9 cases of temporomandibular joint irrecoverable disc displacement by surgical treatment of clinical results. 8 cases of patients with double-plate joint suture suspension suture and the outer wall of the cross-fit capsule, intracapsular condylar high resection; 1 cases of total disc removal fascia fascia. After 6 to 18 months of follow-up, 8 cases (8/9) symptoms disappeared or significantly improved. The key to surgical treatment is to reset the disc at the same time, to avoid postoperative repair of the articular disc and condylar resection of the bone between the formation of fibrous adhesions.