实用口腔医学杂志
實用口腔醫學雜誌
실용구강의학잡지
JOURNAL OF PRACTICAL STOMATOLOGY
2015年
1期
63-67
,共5页
蒋扬眉%胡静%冯戈%李继华%罗恩%刘尧%祝颂松
蔣颺眉%鬍靜%馮戈%李繼華%囉恩%劉堯%祝頌鬆
장양미%호정%풍과%리계화%라은%류요%축송송
颞下颌关节%关节强直%颌面畸形%关节成形术
顳下頜關節%關節彊直%頜麵畸形%關節成形術
섭하합관절%관절강직%합면기형%관절성형술
Temporomandibular joint%Ankylosis%Maxillofacial abnormalities%Arthroplasty
目的:总结作者用分期治疗方案矫治成人颞下颌关节强直及其继发畸形的经验。方法:对24例30侧关节实施了分期治疗方案,通过一期手术解除颞下颌关节强直,正畸治疗结束后行二期手术矫正继发颌骨畸形。通过对患者手术前后的颜面外形、张口度和影像学检查进行对比以评估临床疗效。结果:所有患者均成功实施了分期治疗方案,与术前相比,患者的颜面畸形以及咬合情况均得到了显著改善,平均张口度由3.4 mm 增加到32.5 mm(P <0.05)。结论:分期治疗能有效矫治成人颞下颌关节强直及其继发畸形。
目的:總結作者用分期治療方案矯治成人顳下頜關節彊直及其繼髮畸形的經驗。方法:對24例30側關節實施瞭分期治療方案,通過一期手術解除顳下頜關節彊直,正畸治療結束後行二期手術矯正繼髮頜骨畸形。通過對患者手術前後的顏麵外形、張口度和影像學檢查進行對比以評估臨床療效。結果:所有患者均成功實施瞭分期治療方案,與術前相比,患者的顏麵畸形以及咬閤情況均得到瞭顯著改善,平均張口度由3.4 mm 增加到32.5 mm(P <0.05)。結論:分期治療能有效矯治成人顳下頜關節彊直及其繼髮畸形。
목적:총결작자용분기치료방안교치성인섭하합관절강직급기계발기형적경험。방법:대24례30측관절실시료분기치료방안,통과일기수술해제섭하합관절강직,정기치료결속후행이기수술교정계발합골기형。통과대환자수술전후적안면외형、장구도화영상학검사진행대비이평고림상료효。결과:소유환자균성공실시료분기치료방안,여술전상비,환자적안면기형이급교합정황균득도료현저개선,평균장구도유3.4 mm 증가도32.5 mm(P <0.05)。결론:분기치료능유효교치성인섭하합관절강직급기계발기형。
Objective:To introduce a 2-stage treatment protocol for the management of temporomandibular joint ankylosis with sec-ondary deformities in adults.Methods:24 adult patients (9 males and 15 female)(30 joints)at the average age of 26.1 years un-derwent TMJ reconstruction as the initial surgery,followed by orthodontic treatment and correction of secondary deformities as the sec-ond surgery.Clinical outcome was assessed based on maximal incisal opening,radiography and medical photography.Results:Skele-tal deformities were significantly improved in all patients,satisfactory occlusion was achieved with the orthodontic treatment,average maximal incisal opening increased from 3.4 mm to 32.5 mm(P <0.05).Conclusion:The 2-stage treatment protocol is an effective approach for management of TMJ ankylosis with secondary deformities in adult patients.