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口腔颌面外科学0802(Oral and maxillofacial surgery 0802)
口腔颌面外科学0802(Oral and maxillofacial surgery 0802)
(two) disorders of joint structure;
It includes various kinds of disc displacement, laxity or avulsion of articular disc, expansion of joint capsule, etc.. The main feature is that the joints in the open motion are snapping and may be accompanied by varying degrees of pain. X-ray examination showed abnormal joint space, but there was no bone change. The arthrography can show the displacement of the disc, the laxity of the disc and the avulsion of the disc.
Anatomical analysis of the temporomandibular joint in 1. cases of displaced anterior disc displacement
Figure 2 of the geometry of the anterior transposition of the temporomandibular joint: Fig. 1 geometry of the anterior transposition of the temporomandibular joint
(1) the main features of clinical features are opening initial stage or opening opening, closing mouth and snapping, and abnormal opening type. With the increase of the degree of disc displacement, it can also be seen in the middle and late opening stage. There is no pain. The posterior displacement of the condyle can be seen on this radiograph. The joint disc shows the anterior disc displacement and the normal disc position during the opening. The lesion is usually accompanied by spasm of the external pterygoid muscle and the injury of the posterior region of the joint, which can have both clinical manifestations of the latter two.
(2) the therapeutic principle of snapping occurs at the beginning of opening and the end of closed mouth, and can be treated with reposition pad. If the anterior disc of the disc is obviously displaced and cannot be treated with a pad, the reduction of the articular disc can be performed by arthroscopy or open surgery. If accompanied by spasm of the external pterygoid muscle and the injury of the posterior region of the joint, the corresponding treatment should be performed.
2. non displaced anterior disc displacement
(1) the clinical features of patients usually have typical
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