颞下颌关节盘移位对面型影响的研究进展  

The effect of disc displacement of temporomandibular joint on facial morphology:a review of the literature

作　　者：龚心仪 江凌勇[1] GONG Xin-yi;JIANG Ling-yong(Department of Oral and Craniomaxillofaeial Surgery,Shanghai Ninth People＇Hospital,College of Stomatology,Shanghai Jiao Tong University School of Medicin;National Clinical Research Center for Oral Disease;Shanghai Key Laboratory of Stomatology ＆ Shanghai Research Institute of Stomatology.Shanghai 20011,China)

机构地区：[1]上海交通大学医学院附属第九人民医院·口腔医学院口腔颅颌面科,国家口腔疾病临床研究中心,上海市口腔医学重点实验室,上海市口腔医学研究所,上海200011

出　　处：《中国口腔颌面外科杂志》2018年第5期460-464,共5页China Journal of Oral and Maxillofacial Surgery

基　　金：国家自然科学基金(81371121,81570950);上海交通大学SMC-晨星青年学者奖励计划优秀青年教师(B类计划);上海高校高峰高原学科建设项目

摘　　要：颞下颌关节盘移位是由多种因素导致的关节结构内紊乱疾病,人群中发生率较高,在青少年与成人均有分布。临床表现为关节弹响、疼痛、开口受限或咀嚼困难,也可无症状,结合磁共振成像可明确诊断。但由于关节盘移位的病因复杂、发病机制不明,其对面型的影响及因果关系尚存争议,近年来受到研究者的普遍关注。本文探讨不同类型关节盘移位与偏颌、下颌后缩等面型的相关性,将髁突、关节盘与关节间隙、关节窝的结构与位置变化及可能的机制作一概述,为临床诊疗及相关研究提供思路。Disc displacement of temporomandibular joint（DD） is a multifactorial disease causing internal derangement（ID）, with high morbidity in both adolescents and adults. Its clinical manifestations include clicking, pain, limitation of jaw movement and chewing difficulties, while some patients are asymptomatic. It could be diagnosed definitively based on temporomandibular joint magnetic resonance imaging（MRI）. However, the relationship between DD and facial morphology remains controversial for its complex etiology and unknown pathogenesis, which has attracted increasing attention recently in this research field. This review discussed its correlation with different facial morphology including facial asymmetry and mandibular retrognathia, summarized the structure and position change of condyle, articular disc, joint space and fossa glenoid, with analysis of its possible mechanism, in order to provide new insights for clinical diagnosis and treatment, as well as related researches.

关 键 词：颞下颌关节盘移位 面型 偏颌 下颌骨后缩 

分 类 号：R782.6[医药卫生—口腔医学]