Chossegros C, Guyot L, Cheynet F, Blanc J L, Cannoni P
Department of Oral and Maxillofacial Surgery, Timone University Hospital Center, Marseille, France.
Int J Oral Maxillofac Surg. 1999 Oct;28(5):330-4.
Recurrence is a major problem after release of temporomandibular joint ankylosis. Early physiotherapy and choice of interpositional material are important in preventing recurrence. Currently, the most used technique is gap arthroplasty associated with coronoidectomy, temporalis muscle flap interposition and reconstruction of the condylar unit with a costochondral graft. Full-thickness skin graft interposition, using the technique described by Popescu & Vasiliu, can also be used. This retrospective review of 31 patients confirms the reliability of full-thickness skin graft interposition. Results were successful in 90% of the 20 patients with follow-up longer than one year.
颞下颌关节强直松解术后复发是一个主要问题。早期物理治疗和植入材料的选择对于预防复发很重要。目前，最常用的技术是间隙关节成形术联合冠突切除术、颞肌瓣植入以及用肋软骨移植重建髁突单元。也可采用Popescu和Vasiliu描述的技术进行全厚皮片植入。这项对31例患者的回顾性研究证实了全厚皮片植入的可靠性。在随访时间超过一年的20例患者中，90%的结果是成功的。
