作者: Jack A. Davidson , Stephen E. Metzinger , Anthony P. Tufaro , A. Lee Dellon
DOI: 10.1097/00001665-200303000-00019
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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.