CAJ | 학술논문

正颌术术后的复发往往与颞下颌关节（TMJ）结构和位置异常有关，包括髁突移位、进行性髁突吸收和关节盘移位等。正颌外科作为一种创伤性的手术，对TMJ的结构和位置能产生一定的影响。由于牙颌面畸形患者往往术前即有TMJ的疾病，因此正颌手术本身对TMJ的影响是否导致了复发和产生颞下颌关节紊乱病（TMD）需要多项研究探索。有一些学者提出，正颌手术同期行关节盘复位术可提高手术效果稳定性。对预防由于TMJ结构和位置异常引起的复发或TMD，目前临床尚无特定方法。鉴于此，本文将在正颌外科对TMJ结构的影响，与TMD的关系，以及预防术后复发和TMD的方法等三个方面进行综述。
정합술술후적복발왕왕여섭하합관절（TMJ）결구화위치이상유관，포괄과돌이위、진행성과돌흡수화관절반이위등。정합외과작위일충창상성적수술，대TMJ적결구화위치능산생일정적영향。유우아합면기형환자왕왕술전즉유TMJ적질병，인차정합수술본신대TMJ적영향시부도치료복발화산생섭하합관절문란병（TMD）수요다항연구탐색。유일사학자제출，정합수술동기행관절반복위술가제고수술효과은정성。대예방유우TMJ결구화위치이상인기적복발혹TMD，목전림상상무특정방법。감우차，본문장재정합외과대TMJ결구적영향，여TMD적관계，이급예방술후복발화TMD적방법등삼개방면진행종술。
Relapse after orthognathic surgery always results from condylar or/and articular disk displacement and progressive condylar absorption . Orthognathic surgery which is a traumatic method to correct the dentofacial deformity, changes the structure of temporomandibular joint simultaneously. While the patients suffered from dentofacial deformity also have a high prevalence of signs and symptoms of TMD. Further researches are needed to confirm whether orthognathic surgery could lead to reoccurrence or occurrence of TMD or not. Some studies shown that orthognathic surgery was a stable procedure for patients undergoing simultaneous TMJ disc repositioning. There is no specific strategy could be applied to prevent the deformity relapse and TMD after orthognathic surgery . Literatures, published in this 5 years, on the relationships among TMD, dentofacial deformities and orthognathic surgery, were reviewed.