中华创伤杂志
中華創傷雜誌
중화창상잡지
Chinese Journal of Traumatology
2010年
8期
726-728
,共3页
何巍%李方%乔永明%李星%赵军方%孙明磊%李新明%韩新光%高宁%吕继连%刘学杰
何巍%李方%喬永明%李星%趙軍方%孫明磊%李新明%韓新光%高寧%呂繼連%劉學傑
하외%리방%교영명%리성%조군방%손명뢰%리신명%한신광%고저%려계련%류학걸
下颌损伤%关节强直%颞下颌关节盘%复发
下頜損傷%關節彊直%顳下頜關節盤%複髮
하합손상%관절강직%섭하합관절반%복발
Mandibular injuries%Ankylosis%Temporomandibular joint disc%Recurrence
目的 探讨保留髁突和颞下颌关节盘的术式对于治疗创伤性颞下颌关节内强直Ⅲ型的疗效.方法 创伤性颞下颌关节内强直Ⅲ型8例,男4例,女4例;年龄7～22岁,平均13.6岁.病程1～12年,开口度2～10 mm.手术方法为去除外侧髁突骨折断面形成的骨痂,将髁突磨改成形,在内侧寻找分离出移位的关节盘,松解后将关节盘的外侧端缝合固定至外侧关节囊或软组织.结果 术后随访6～38个月,患者开口度平均30 mm,无关节疼痛及弹响症状,随访期内无复发.结论 采用保留髁突和关节盘的方法治疗创伤性颞下颌关节内强直Ⅲ型,方法简单易行,创伤小,能有效防止复发.
目的 探討保留髁突和顳下頜關節盤的術式對于治療創傷性顳下頜關節內彊直Ⅲ型的療效.方法 創傷性顳下頜關節內彊直Ⅲ型8例,男4例,女4例;年齡7～22歲,平均13.6歲.病程1～12年,開口度2～10 mm.手術方法為去除外側髁突骨摺斷麵形成的骨痂,將髁突磨改成形,在內側尋找分離齣移位的關節盤,鬆解後將關節盤的外側耑縫閤固定至外側關節囊或軟組織.結果 術後隨訪6～38箇月,患者開口度平均30 mm,無關節疼痛及彈響癥狀,隨訪期內無複髮.結論 採用保留髁突和關節盤的方法治療創傷性顳下頜關節內彊直Ⅲ型,方法簡單易行,創傷小,能有效防止複髮.
목적 탐토보류과돌화섭하합관절반적술식대우치료창상성섭하합관절내강직Ⅲ형적료효.방법 창상성섭하합관절내강직Ⅲ형8례,남4례,녀4례;년령7～22세,평균13.6세.병정1～12년,개구도2～10 mm.수술방법위거제외측과돌골절단면형성적골가,장과돌마개성형,재내측심조분리출이위적관절반,송해후장관절반적외측단봉합고정지외측관절낭혹연조직.결과 술후수방6～38개월,환자개구도평균30 mm,무관절동통급탄향증상,수방기내무복발.결론 채용보류과돌화관절반적방법치료창상성섭하합관절내강직Ⅲ형,방법간단역행,창상소,능유효방지복발.
Objective To investigate the potential role of disc repositioning and condyle restoration in the treatment of type Ⅲ traumatogenic temporomandibular joint (TMJ) ankylosis. Methods Eight patients including four females and four males at age range of 7-22 years (mean 13.6 years) were enrolled in this study. The patients suffered from traumatogenic TMJ ankylosis for 1-12 years. The preoperative interincisal opening distances ranged from 2 mm to 10 mm. During surgery, the traumatogenic callus of the lateral condyle process was removed, the condyle process was formed, and then the dislocated disc was sutured to the articular capsule or soft tissues around. Results All patients were followed up for 6-38 months and the last follow-up examination showed that the average interincisal opening distance was 30 mm. No recurrence or TMJ symptoms were found during the period of follow-up. Conclusions Disc repositioning and condyle restoration has the advantages of simple procedures, minor trauma and little recurrence and proves to be a feasible and effective method for the treatment of type Ⅲ traumatogenic TMJ ankylosis.
