Mercuri L G
Loyola University Chicago Stritch School of Medicine, Department of Surgery, USA.
Cranio. 1999 Jan;17(1):44-8. doi: 10.1080/08869634.1999.11746076.
Patients with very advanced degenerative disease, ankylosis, post-traumatic condylar destruction, and multi-operated patients may be candidates for joint replacement with fossa and condylar prostheses. Great advances have been made in developing biocompatible materials, improved designs for patient-fitted prostheses. These devices have treated internal derangement cases after multiple surgical and nonsurgical treatment failures, as well as restoring form and function following the removal of failed Vitek Proplast-Teflon (Houston, Texas) containing temporomandibular joint implants. This paper will provide practitioners dealing with complex, debilitated, functionless temporomandibular joint (TMJ) patients with information related to this treatment modality. They will then be able to address the indications for the use of alloplastic temporomandibular joint replacement devices, the devices presently available, the surgery involved in their placement, possible complications of implantation and post-operative outcomes and expectations with patients who would benefit from the implantation of these devices.
患有极晚期退行性疾病、关节强硬、创伤后髁突破坏的患者以及接受过多次手术的患者可能是采用窝和髁突假体进行关节置换的候选者。在开发生物相容性材料、改进定制假体设计方面已经取得了巨大进展。这些装置治疗了多次手术和非手术治疗失败后的颞下颌关节内紊乱病例，以及在取出含有失败的Vitek Proplast-Teflon（得克萨斯州休斯顿）的颞下颌关节植入物后恢复形态和功能。本文将为处理复杂、衰弱、无功能的颞下颌关节（TMJ）患者的从业者提供与这种治疗方式相关的信息。然后，他们将能够了解使用人工颞下颌关节置换装置的适应症、目前可用的装置、放置这些装置所涉及的手术、植入可能的并发症以及术后结果，并了解哪些患者将从这些装置的植入中受益。
