人工颞下颌关节在口腔颌面外科中应用的策略思考与展望  

Application of temporomandibular joint prosthesis in oral and maxillofacial surgery:strategic thinking and prospects

作　　者：毕瑞野[1] 祝颂松[1] Bi Ruiye;Zhu Songsong(State Key Laboratory of Oral Diseases&National Center for Stomatology&National Clinical Research Center for Oral Diseases&Dept.of Orthognathic and TMJ Surgery,West China Hospital of Stomatology,Sichuan University,Chengdu 610041,China)

机构地区：[1]口腔疾病防治全国重点实验室,国家口腔医学中心,国家口腔疾病临床医学研究中心,四川大学华西口腔医院正颌及关节外科,成都610041

出　　处：《华西口腔医学杂志》2024年第5期551-557,共7页West China Journal of Stomatology

基　　金：国家重点研发计划(2023YFC2509200);四川省科技厅重点研发项目(23ZDYF2130);国家自然科学基金区域联合重点项目(U23A20446);国家自然科学基金面上项目(82270999);四川大学华西口腔医院临床队列研究(LCYJ2023-DL-5)。

摘　　要：颞下颌关节在人体口颌系统中发挥至关重要的作用,其损伤破坏可造成口颌功能障碍与继发颌骨畸形,严重影响患者生存质量。人工颞下颌关节置换是关节严重破坏的主要治疗方式之一,并具有其他方式不可替代的优势。近年来,人工颞下颌关节置换在我国日益受到重视与关注,但因多种原因未获得普及与推广。本文通过总结国内外人工颞下颌关节置换经验,对人工关节置换的治疗原则、治疗流程与技术要点进行系统阐述,旨在促进人工颞下颌关节置换在临床上的应用与推广。The temporomandibular joint(TMJ) is the critical functional unit in the human stomatognathic system.Damage of the TMJ causes orofacial dysfunction and secondary jaw deformities,leading to seriously decreased quality of life in patients.The TMJ prosthetic replacement is an important treatment method for severe joint destruction because of its remarkable advantages compared with other methods.In recent years,this technique has gradually attracted wide attention in China,but it has not been popularized on a large scale in our country because of several limitations.Thus,in this study,the clinical experience of patients with TMJ prosthetic replacement in clinical units was summarized,and the treatment principles,treatment processes,and technical advantages were systematically discussed,aiming to promote the popularization and application of TMJ prosthetic replacement in China.

关 键 词：颞下颌关节 关节重建 关节假体 颌骨畸形 髁突 

分 类 号：R782.05[医药卫生—口腔医学]