肋骨移植治疗生长期患者单侧颞下颌关节强直合并颌骨畸形效果评价  

Evaluation of condyle remodeling after costochondral graft in growing children with temporomandibular joint ankylosis and jaw deformity

作　　者：赵界云[1] 何冬梅[1] 杨驰[1] 陆川[1] 胡逸晖 

机构地区：[1]上海交通大学医学院附属第九人民医院·口腔医学院口腔外科,上海市口腔医学重点实验室,上海200011

出　　处：《中国口腔颌面外科杂志》2017年第1期31-35,共5页China Journal of Oral and Maxillofacial Surgery

基　　金：国家自然科学基金(81472117);上海市科学技术委员会科研计划项目(14DZ2294300);上海交通大学医工交叉基金(YG2014MS05)

摘　　要：目的 :评价肋骨移植治疗生长期患者单侧颞下颌关节强直合并颌骨畸形的效果。方法 :对2010年1月—2014年12月采用肋骨移植同期治疗单侧颞下颌关节强直合并颌骨畸形的生长期患者进行CT影像学分析,采用Pro Plan CMF 1.4软件对术前、术后1周和随访1年以上的下颌支高度、肋骨长度和颏点偏斜程度进行测量和比较。采用SPSS 17.0软件包对数据进行配对t检验。结果 :6例患者纳入研究,年龄3~7岁,平均5岁。肋骨术后平均延长下颌支高度6.2 mm,颏点偏斜平均矫正5.3 mm;术后平均随访2.7 a,肋骨平均生长6.9 mm,健侧下颌支平均生长4.4 mm,患侧4.3 mm(P>0.05)。结论:肋骨移植可以同期治疗颞下颌关节强直及合并的颌骨畸形,具有生长潜能,但是长期效果有待于进一步观察。PURPOSE： To evaluate the long-term result after costochondral graft（CCG） in growing children with temporomandibular joint（TMJ） ankylosis and jaw deformity. METHODS： Patients from 2010 to 2014 with unilateral TMJ ankylosis and jaw deformity treated by CCG were evaluated. Their CT data within 1 week after operation and during at least 1 year follow-up were measured by Pro Plan CMF 1.4 software. Condyle-ramus, chin deviation and the length of CCG were measured and compared after operation and during follow-ups. SPSS 17.0 software was used for statistical analysis.RESULTS： Six patients with a mean age of 5 years old（from 3 to 7 years old） were included in the study. The mean follow-up period was 2.7 years. The mean condyle-ramus elongation by CCG was 6.2 mm and chin deviation correction was 5.3 mm after operation. The mean growth of CCG was 6.9 mm. The mean mandibular ramus growth was 4.4mm in the healthy side and 4.3 mm in the affected side（P〈0.05）. CONCLUSIONS：CCG is a reliable method to treat TMJ ankylosis with jaw bone deformity in growing children. It has growing ability but the long-term results still need observation.

关 键 词：颞下颌关节强直 肋骨移植 颌骨畸形 

分 类 号：R782.6[医药卫生—口腔医学]