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首页> 外文会议>European Association of Cranio-Maxillo-Facial Surgery >High condylectomy and/or eminectomy under local anesthesia for medically compromised patients with habitual dislocation of the temporomandibular joint
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High condylectomy and/or eminectomy under local anesthesia for medically compromised patients with habitual dislocation of the temporomandibular joint

机译：在局部麻醉下的高淀粉切除术和/或eminectoMy，用于医疗损害颞下颌关节的习惯性脱位患者

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Surgery for habitual dislocation of the temporomandibular joint (TMJ) is usually performed under general anesthesia. We modified the procedure to allow us to use local anesthesia on 49 TMJs in 27 medically compromised patients (mean age: 82.7 years). Under local anesthesia combined with intravenous sedatives, a vertical skin incision, 2 cm in length, was made directly above the articular eminence. Subcutaneous tissue was gently divided to expose the lateral joint capsule, followed by entry into the superior compartment and shaving of the eminence in a conventional manner. Additional high condylectomy was performed in 7 TMJs in 4 patients who were re-operated for recurrence (2 cases) or simultaneously applied for uncontrolled dislocation (2 cases) by eminectomy alone. These procedures were successfully accomplished without serious complications. The mean operation time was 41 min per joint. There was no distinct facial nerve palsy post-operatively.
机译：用于常规脱位（TMJ）的习惯性脱位手术通常在全身麻醉下进行。我们修改了该程序，让我们在27名医学损害的患者（平均年龄：82.7岁）中使用局部麻醉。在局部麻醉下，与静脉沉积物相结合，垂直皮肤切口长度为2厘米，直接在关节物质上方制成。皮下组织轻轻地分为露出侧面关节胶囊，然后进入优质隔室并以常规方式剃。在7汤匙中，在4例患者中进行额外的高淀粉切除术，用于再次复发（2例）或同时施用于因不受控制的脱位（2例）单独施用。这些程序成功完成而无需严重并发症。平均操作时间为每关节41分钟。可操作地没有明显的面部神经麻痹。

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