单侧颞下颌关节强直继发颌骨畸形的综合治疗  

Surgical-orthodontic treatment for management of unilateral temporomandibular joint ankylosis with jaw deformities in adults

作　　者：林南松 胡静[1] 祝颂松[1] 李继华[1] 罗恩[1] 刘尧[1] 

机构地区：[1]四川大学华西口腔医学院.口腔疾病研究国家重点实验室,成都610041

出　　处：《现代口腔医学杂志》2014年第1期1-3,共3页Journal of Modern Stomatology

摘　　要：目的本文通过对单侧颞下颌关节强直继发颌骨畸形患者的临床资料进行回顾性分析,观察对此类疾病采取外科-正畸综合治疗的效果。方法对2000年1月至2012年6月期间四川大学华西口腔医院收治的32例成人单侧颞下颌关节强直继发颌骨畸形患者采用外科-正畸联合治疗并进行随访,通过开口度,咬合功能恢复、影像学检查和术前术后面形变化的对比评价其临床疗效。结果经过至少12个月的观察随访,患者的咬合功能和颌骨畸形均得到明显的改善,未发现颞下颌关节强直复发的病例。结论对此类疾病采用关节外科-正畸-正颌联合治疗,不仅恢复了患者的关节功能,而且显著改善了患者的面部外形与咬合状态。Objective This study was to evaluate the clinical effects of surgical-orthodontic treatment on adult patients with temporomandibular joint （TMJ） ankylosis and secondary dentofacial deformities. Methods From 2000 to 2012, 32 adult patients with unilateral TMJ ankylosis with secondary jaw deformities treated by arthoplasty, orthodontic and orthognathic treatment. Clinical outcome was assessed based on mouth opening, radiography and medical photography. Results Patients were followed up for a minimum of 12 months. No relapse of TMJ ankylosis occurred in any patient during the follow-up period. Mouth opening and jaw deformities were significantly improved in all patients. Satisfactory occlusion was achieved with the help of orthodontic treatment. Conclusion The surgical-orthodontic combined treatment not only to restored joint function, but also improved the patient＇s facial appearances and occlusion.

关 键 词：颞下颌关节强直 继发颌骨畸形 外科-正畸治疗 

分 类 号：R782.6[医药卫生—口腔医学]