颞肌筋膜瓣治疗儿童期颞下颌关节骨性强直1例  

Treatment of Temporomandibular Joint Ankylosis in Children with Temporalis Myofascial Flap: Case Report

作　　者：张林朴[1] ZHANG Lin-pu(Department of Oral and Maxilofoctal Surgery, Stomatological Hospital, Nankai University,Tianjin Stomatological Hospital, Tianjin 300041, China)

机构地区：[1]南开大学附属口腔医院,天津市口腔医院口腔颌面外科

出　　处：《口腔颌面外科杂志》2017年第6期446-449,共4页Journal of Oral and Maxillofacial Surgery

摘　　要：颞颌关节区的感染和外伤是导致颞颌关节强直的主要原因,病变造成关节囊周围或囊内关节间隙间的纤维性黏连或骨性愈合。特别是在儿童期的涉及颞颌关节损伤没能得到足够的重视,在其颞颌关节发育尚不成熟的情况下,较之成人同样的或较轻度的损伤,更会形成关节强直。这是儿童期多发颞颌关节强直的部分重要原因,在儿童生长发育期会导致形成严重颌面畸形和功能障碍。本人近年赴刚果(布)援非医疗期间,接诊1例因颏部摔伤而导致的儿童期颞颌关节骨性强直病例,利用颞肌筋膜瓣作为间置物完成颞颌关节成形术。Temporomandibular joint (TMJ) ankylosis mainly accounted for infection and trauma in temporomandibular region. The lesions caused fibrous adhesions or synostosis around TMJ capsule or in joint space. If the lesions dealing with TMJ especially in childhood, it couldn't acquire enough attention, and more easily to resulted to ankylosis compared to same or in less severe grades damage in adult. There are considerable reasons of TMJ ankylosis occurring mostly in children and which could resulted in severe maxillofacial abnormalities and functional impairment. During medical aiding Africa in The Republic of Congo, a case of childhood TMJ ankylosis by reason of a fall wound in mental region was cured by me and local surgeons. Ailhroplastv of temporomandibular joint was accomplished by using temporalis myofascial flap as a interpos itional age nt.

关 键 词：颞下颌关节骨性强直 关节成形术 颞肌筋膜瓣 

分 类 号：R782.6[医药卫生—口腔医学]