颞下颌关节强直及其继发畸形的综合矫治  

Combined treatment of temporomandibular joint ankylosis and secondary dentofacial deformities

作　　者：祝颂松[1] 胡静[1] 

机构地区：[1]四川大学口腔疾病研究国家重点实验室,华西口腔医学院口腔颌面外科,正颌与关节外科,四川成都610041

出　　处：《中国口腔颌面外科杂志》2016年第3期193-197,共5页China Journal of Oral and Maxillofacial Surgery

基　　金：四川省科技厅应用基础课题(2015JY0258)

摘　　要：颞下颌关节强直及其继发畸形的矫治一直是口腔颌面外科的难点之一,其矫治目标包括恢复关节功能、改善外形、重建咬合以及由此引起的一系列心理问题。目前,多种手术如关节成形术、正颌外科手术、牵张成骨、整形美容手术等被用于关节强直及其继发畸形的矫治。然而,如何正确理解并合理运用这些术式,仍困扰着许多临床医师。本文就颞下颌关节强直及其继发畸形矫治的适应证、优缺点以及矫治中的相关问题进行阐述。Temporomandibular joint（TMJ） ankylosis with secondary dentofacial deformities is a severely disfiguring condition and surgical treatment remains a great clinical challenge. The treatment goals are to restore the joint function, to improve facial appearances and to correct malocclusion, as well as to re-establish balance among them. Currently, various surgical techniques, such as arthroplasty with or without interpositional materials, orthognathic surgery, distraction osteogenesis and plastic surgery, have been proposed in the literature. The greatest difficulty for most clinicians is how to determine the proper sequence of these procedures because no uniform treatment protocol has been established. This review summarized current surgical procedures and discussed some factors involved in the treatment of TMJ ankylosis with dentofacial deformities.

关 键 词：颞下颌关节 强直 牙颌面畸形 

分 类 号：R782.6[医药卫生—口腔医学]