Clinical Implications of the Innervation of the Temporomandibular Joint

作者: Jack A. Davidson , Stephen E. Metzinger , Anthony P. Tufaro , A. Lee Dellon

DOI: 10.1097/00001665-200303000-00019

关键词:

摘要: The successful management of temporomandibular joint (TMJ) pain remains elusive. Often, the initial relief is complicated by recurrence symptoms. This time frame suggests that may be related to neuromas nerves innervate TMJ. current study attempted define innervation pattern TMJ as identified in 16 embalmed and 8 fresh-frozen specimens. In each specimen, auriculotemporal nerve, a branch mandibular portion (V3) trigeminal was found lateral capsule 75% specimens, masseteric maxillary (V2) anteromedial 33% there coming through notch not from nerve; this nerve believed have passed pterygoid muscle after leaving V2. These consistent patterns suggest diagnostic blocks can done determine pathway these patients. It suggested if are successful, denervation future method patients with recalcitrant or recurrent pain.

参考文章(24)
Brown Wa, Internal derangement of the temporomandibular joint: review of 214 patients following meniscectomy. Canadian Journal of Surgery. ,vol. 23, pp. 30- 32 ,(1980)
Göran Agerberg, Max Lundberg, Changes in the temporomandibular joint after surgical treatment. A radiologic follow-up study. Oral Surgery, Oral Medicine, Oral Pathology. ,vol. 32, pp. 865- 875 ,(1971) , 10.1016/0030-4220(71)90171-X
A. Lee Dellon, Sue S. Seif, Anatomic dissections relating the posterior interosseous nerve to the carpus, and the etiology of dorsal wrist ganglion pain Journal of Hand Surgery (European Volume). ,vol. 3, pp. 326- 332 ,(1978) , 10.1016/S0363-5023(78)80032-X
Ha˚kan Lundh, Per-Lennart Westesson, Long-term follow-up after occlusal treatment to correct abnormal temporomandibular joint disk position Oral Surgery, Oral Medicine, Oral Pathology. ,vol. 67, pp. 2- 10 ,(1989) , 10.1016/0030-4220(89)90292-2
A. Lee Dellon, Michael A Mont, Kenneth A. Krackow, David S. Hungerford, Partial denervation for persistent neuroma pain after total knee arthroplasty Clinical Orthopaedics and Related Research. ,vol. 316, pp. 145- 150 ,(1995) , 10.1097/00003086-199507000-00020
Abbas A. Y. Taher, Treatment of TMJ ankylosis. Plastic and Reconstructive Surgery. ,vol. 93, pp. 441- ,(1994) , 10.1097/00006534-199402000-00046
C. H. Wilkes, Surgical Treatment of Internal Derangements of the Temporomandibular Joint: A Long-term Study Archives of Otolaryngology-head & Neck Surgery. ,vol. 117, pp. 64- 72 ,(1991) , 10.1001/ARCHOTOL.1991.01870130070019
Lars Eriksson, Per-Lennart Westesson, Long-term evaluation of meniscectomy of the temporomandibular joint Journal of Oral and Maxillofacial Surgery. ,vol. 43, pp. 263- 269 ,(1985) , 10.1016/0278-2391(85)90284-8
A. Lee Dellon, Partial dorsal wrist denervation: resection of the distal posterior interosseous nerve. Journal of Hand Surgery (European Volume). ,vol. 10, pp. 527- 533 ,(1985) , 10.1016/S0363-5023(85)80077-0
C. J. Griffin, R. Harris, Innervation of the temporomandibular joint. Australian Dental Journal. ,vol. 20, pp. 78- 85 ,(1975) , 10.1111/J.1834-7819.1975.TB04333.X