老年人颞下颌关节脱位的诊治-附10例报告  

Diagnosis and treatment of temporomandibular joint dislocation in the elderly:10 cases report

作　　者：朱远茂 满城 郑德鑫 江海涛 蒋练 ZHU Yuan-mao;MAN Cheng;ZHENG De-xin;JIANG Hai-tao;JIANG Lian(Department of Oral and Maxillofacial Surgery,Stomatological Hospital,Zunyi Medical University,Zunyi 563000,China)

机构地区：[1]遵义医科大学附属口腔医院口腔颌面外科,563000

出　　处：《中华老年口腔医学杂志》2023年第2期98-101,共4页Chinese Journal of Geriatric Dentistry

基　　金：遵义市科技计划项目(遵市科合HZ字(2019)233号)。

摘　　要：目的探讨颞下颌关节脱位复位的治疗方法。方法对10例老年人颞下颌关节脱位直接复位困难且患有基础疾病的患者,全麻风险高,采用局麻加强化麻醉下行颞下颌关节脱位闭合性手法复位,术后予以颌间牵引钉进行颌间牵引限制下颌运动,观察治疗效果。结果术中麻醉效果好,术后患者恢复良好,无并发症。结论针对颞下颌关节脱位直接复位困难且患有基础疾病的老年患者,可采用局麻加强化麻醉下闭合性手法复位,结合牵引钉颌间牵引,能够有效治疗颞下颌关节脱位。Objective To investigate the treatment of temporomandibular joint dislocation.Methods 10 elderly patients with chronic temporomandibular joint dislocation were treated with manual reduction under local anesthesia and potentiated anesthesia,intermaxillary traction was performed with pulling nail traction and mandibular movement was restricted,and the therapeutic effect was observed.Results The anesthesia effect was good,and the patients recovered well after operation without complications.Conclusion For elderly patients who have difficulty in direct reduction of temporomandibular joint dislocation and suffer from basic diseases,manual reduction under local anesthesia and potentiated anesthesia,combined with traction nail intermaxillary traction can effectively treat temporomandibular joint dislocation.

关 键 词：颞下颌关节脱位 手法复位 局部麻醉 强化麻醉 老年患者 颌间牵引 

分 类 号：R782.6[医药卫生—口腔医学]