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[儿童颞下颌关节强直(TMA)]

[Temporomandibular joint ankylosis (TMA) in children].

作者信息

García-Aparicio L, Parri F J, Sancho M A, Sarget R, Morales L

机构信息

Servicio de Cirugía Pediátrica, Unitat Integrada Hospital Clínic-Hospital Sant Joan de Déu, Universitat de Barcelona, Po de Sant Joan de Déu 2, 08950 Esplugues de Llobregat Barcelona.

出版信息

Cir Pediatr. 2000 Apr;13(2):62-3.

Abstract

Temporomandibular joint (TMJ) ankylosis is a degenerative disease that produces a limitation of mouth opening. In children, TMJ ankylosis usually presents with facial asymmetry, difficulty in feeding and rarely upper way obstruction. Ankylosis is commonly associated with trauma, infections, systemic and congenital diseases. Diagnosis must be clinical, being CT scan and magnetic resonance imaging (MRI) the most important methods to evaluate this disease. The treatment of TMJ ankylosis requires excision of the involved structures and reconstruction. We present our experience in treatment of the temporomandibular joint ankylosis. We have analysed the following parameters: age, sex, etiology, surgical technique, pre and postoperative oral opening.

摘要

颞下颌关节强直是一种导致张口受限的退行性疾病。在儿童中,颞下颌关节强直通常表现为面部不对称、进食困难,很少出现上呼吸道梗阻。强直通常与创伤、感染、全身性疾病和先天性疾病有关。诊断必须依靠临床,计算机断层扫描(CT)和磁共振成像(MRI)是评估该疾病最重要的方法。颞下颌关节强直的治疗需要切除受累结构并进行重建。我们展示了我们在治疗颞下颌关节强直方面的经验。我们分析了以下参数:年龄、性别、病因、手术技术、术前和术后的张口度。

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