颞下颌关节假体置换术相关并发症的研究进展  

Research advances of complications regarding temporomandibular joint prosthesis replacement

作　　者：马鸣岐 尚涛[2] 毛懿 陈旭卓 张善勇[1] 王绍义[1] Ma Mingqi;Shang Tao;Mao Yi;Chen Xuzhuo;Zhang Shanyong;Wang Shaoyi(Department of Oral Surgery,Shanghai Ninth People′s Hospital,Shanghai Jiao Tong University School of Medicine/College of Stomatology,Shanghai Jiao Tong University/National Center for Stomatology/National Clinical Research Center for Oral Diseases/Shanghai Key Laboratory of Stomatology/Shanghai Research Institute of Stomatology,Shanghai 200011,China;People′s Hospital of Wenchuan,Wenchuan,623099,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外科、上海交通大学口腔医学院、国家口腔医学中心、国家口腔疾病临床医学研究中心、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 [2]汶川县人民医院,汶川623099

出　　处：《中华口腔医学杂志》2024年第10期1059-1064,共6页Chinese Journal of Stomatology

基　　金：国家自然科学基金(82360197)。

摘　　要：颞下颌关节假体置换术(RTJ)经过数十年的技术改进,是目前治疗终末期关节疾病的重要治疗手段。RTJ的主要并发症包括无菌性松动,异位骨化,术后感染,过敏反应,假体松动或脱位,神经损伤和严重出血等。提高临床技术是目前解决并发症的关键。在未来,假体材料的改进可能是RTJ更新迭代的重要发展方向。随着颞下颌关节外科技术的发展和普及,假体相关并发症将越来越多地进入人们的临床视野。本文对RTJ的并发症以及应对措施进行系统综述,并从减少并发症的角度展望该领域发展方向,为临床工作提供参考。Replacement of the temporomandibular joint(RTJ)has undergone decades of technological improvements and is now an important treatment for end-stage temporomandibular joint(TMJ)disease.The main complications of RTJ include aseptic loosening,heterotopic ossification,postsurgical infection,hypersensitivity reaction,prosthesis loosening or malposition,nerve injury and severe bleeding.Improvement in clinical technique is now the key to resolving complications.In the future,improvements in prosthetic materials may be an important development for newer iterations.With the development and popularity of TMJ surgical techniques,prosthesis-related complications will increasingly come into clinical view.This article provides a systematic review of the complications of RTJ prosthesis replacement and the measures to deal with them,and looks forward to the direction of the development of this field from the perspective of reducing complications,so as to provide a reference for clinical work.

关 键 词：颞下颌关节 颞下颌关节置换术 假体移植并发症 

分 类 号：R782.6[医药卫生—口腔医学]