【全麻下颞下颌关节检查1例报告】。

R Mairgünther, E Dielert
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引用次数: 0

摘要

手术干预涉及颞下颌关节受到严格的指征。它进一步要求在考虑手术前用尽所有保守治疗的可能性。本病例报告涉及一位严重颞下颌关节功能障碍的患者。经过一系列功能治疗的失败尝试后,最终决定进行手术干预。然而,在全身麻醉下,患者检查显示被动关节功能甚至没有最小的病理改变。除了考虑这种改变可能的精神-心身因果关系的离散迹象外,在我们看来,在这种疑似病例中,在全身麻醉下进行颞下颌关节检查具有诊断和治疗意义。
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[Temporomandibular joint examination under general anesthesia--a case report].

Surgical interventions involving the temporomandibular joint are subject to strict indications. It further requires the exhaustion of all conservative treatment possibilities before operative procedures are considered. This case report involves a patient with an impressive TMJ dysfunction. After a series of frustrating attempts at functional treatment, surgical intervention was finally decided. Under general anesthesia however, the patient examination showed not even the least pathologic change in the passive joint function. Besides considering the discrete signs of possible psychiatric-psychosomatic causalities for such alterations, it seems to us that a temporomandibular joint examination under general anesthesia in such suspected cases has a diagnostic and therapeutic significance.

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