实用口腔医学杂志
實用口腔醫學雜誌
실용구강의학잡지
JOURNAL OF PRACTICAL STOMATOLOGY
2014年
6期
866-868
,共3页
孙国文%曹俊%马文杰%卢明星%胡勤刚%唐恩溢
孫國文%曹俊%馬文傑%盧明星%鬍勤剛%唐恩溢
손국문%조준%마문걸%로명성%호근강%당은일
陈旧性颞下颌关节脱位%手法复位术%牵引
陳舊性顳下頜關節脫位%手法複位術%牽引
진구성섭하합관절탈위%수법복위술%견인
Chronic prolonged mandibular dislocation(CPMD)%Manual reduction%Traction
回顾性分析5例陈旧性颞下颌关节脱位(CPMD)病例,以 CT 扫描作为诊断支持,患者在全身麻醉和肌肉松弛剂作用下接受了手法复位术,颌间结扎固定和颅颌绷带弹性牵引3周,术后患者最大张口度超过30 mm,随访3~34月没有再次发生脱位。
迴顧性分析5例陳舊性顳下頜關節脫位(CPMD)病例,以 CT 掃描作為診斷支持,患者在全身痳醉和肌肉鬆弛劑作用下接受瞭手法複位術,頜間結扎固定和顱頜繃帶彈性牽引3週,術後患者最大張口度超過30 mm,隨訪3~34月沒有再次髮生脫位。
회고성분석5례진구성섭하합관절탈위(CPMD)병례,이 CT 소묘작위진단지지,환자재전신마취화기육송이제작용하접수료수법복위술,합간결찰고정화로합붕대탄성견인3주,술후환자최대장구도초과30 mm,수방3~34월몰유재차발생탈위。
5 patients with chronic prolonged mandibular dislocations(CPMD)were examined by CT scan.The patients were treated by manual reduction under general anaesthesia and muscle relaxants.Traction was performed with ligaturing steel wires on fixation titanium screws intermaxillaryly and wrapping up the skull-jaw bone with elastic bandages for 3 weeks.After 1 month,a maximal mouth opening of o-ver 30 mm was noted and no episode of redislocation occurred in 3 -34 month follow-up.