颞下颌关节的放射学检查

IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL Revista Medica Clinica Las Condes Pub Date : 2023-07-01 DOI:10.1016/j.rmclc.2023.07.002
Rodrigo Bravo Ahumada , Mónica de la Fuente Escalona , Cristian Núñez Baeza
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引用次数: 0

摘要

由Ohnishi博士于1976年描述的颞下颌关节镜,由于其通用性和低发病率,已成为治疗颞下颌关节(TMJ)病变的一种非常有用的治疗选择。由于其多因素的起源,TMJ的病理是复杂的,从炎症性关节疾病到严重破坏TMJ解剖结构的退行性病理。体征和症状通常是多种多样的,如疼痛、下颌动力学改变、咬合障碍等。这些改变会显著影响生活质量。没有单一和排他的治疗方法来解决这些病理,但已经建立了一种多模式的治疗方法,在选定的病例中,功能治疗与手术治疗相结合是最佳选择。在后一种情况下,TMJ关节镜检查是有用的,因为它允许通过微创治疗来观察关节,减少手术发病率,并且在治疗不同病理时根据其复杂性具有高度通用性。本文的目的是回顾TMJ关节镜作为TMJ病理手术治疗选择的现状和进展。
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Artroscopía de la articulación temporomandibular

Temporomandibular joint arthroscopy, described by Dr. Ohnishi in 1976, has become a very useful therapeutic alternative in the treatment of temporomandibular joint (TMJ) pathologies due to its great versatility and low morbidity.

The pathologies of the TMJ are complex, due to their multifactorial origin, ranging from inflammatory joint disorders to degenerative pathologies with severe destruction of the anatomy of the TMJ.

Signs and symptoms are usually diverse, such as pain, alterations in mandibular dynamics, occlusal disorders, among others. These alterations significantly affect the quality of life.

There is no single and exclusive treatment to solve these pathologies, but a multimodal type of treatment has been established, with functional treatments in conjunction with surgical treatments, in the selected cases, being the best choice. TMJ arthroscopy, in the latter cases, is useful because it permits visualization of the joint through a minimally invasive treatment, reducing surgical morbidity as well as being highly versatile in treating different pathologies according to their complexity.

The aim of this article is to review the current status and advances of TMJ arthroscopy as a surgical treatment option for TMJ pathologies.

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来源期刊
Revista Medica Clinica Las Condes
Revista Medica Clinica Las Condes MEDICINE, GENERAL & INTERNAL-
CiteScore
0.80
自引率
0.00%
发文量
65
审稿时长
81 days
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