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側頭下顎關節疾患의 外科的療法

Temporoznandibular Surgery

최신의학 1966년 9권 9호 p.73 ~ 81
李德鏞, 文命相, 李甲淳,
소속 상세정보
李德鏞 (  ) - 서울대학교 醫科大學 整形外科
文命相 (  ) - 서울대학교 醫科大學 整形外科
李甲淳 (  ) - 서울대학교 醫科大學 整形外科

Abstract


Five cases, two of which were bilateral, of various temporomandibular Joint affections were treated surgi caily by the authors during the past two years, 1934 through 1955. Case 1, bilateral ankylosis, was treated by bilateral Kelikian arthroplasty. Case H , bilateral internal derangements (dislocation of the articular disc on one side and a torn and degenerated disc on the other with degenerative arthritis on both sides), was treated by bilateral meniscectomy and condylecto ny. Case I , internal derangement (tear of the articular disc), was treated by meniscectomy alone. Case IV, recurrent subluxation (with subluxation of the articular disc and dege nerative arthritis). was treated by meniscectomy and condylectomy. Case V , old unreduced dislocation (with dislocation of the articular disc), was treated by open reduction, meniscectomy and condylectomy.
In addition to these, several cases of internal derangement and a case of bilateral true recurrent dislocation (Case VI ) and that of recurrent subluxation with contralateral internal derangement (Case VII) were also enco untered by the authors during the same period, but their symptoms did not warrant surgical intervention. Also encountered were a case of acute dislocation of the jaw which required anesthesia for closed reduction and a case of trismus following excision of a maxillary cancer, which are beyond the scope of this paper. In all the cases treated surgically, symptoms and disabilities were severe, whereas results were dramatic and gratifying.Temporomandibular joint affections have often been either overlooked or neglected by the dentist, oral surgeon and otolaryngologist as well as by the orthopedist. Such affections are often extremely disabling and cons ervative treatment is too often disappointing if not futile. Properly selected and provided due precautions are taken to avoid a variety of complications, surgical treatment results in quick and gratifying relief of symptoms and disabilities.

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