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颞下颌关节强直

Temporomandibular ankylosis.

作者信息

Srivastava K P, Orth D

出版信息

Int Surg. 1976 Jan;61(1):24-7.

PMID:1270199
Abstract
  1. Intraarticular hydrocortisone and passive manipulation under general anesthesia does not help mobilize the jaw. 2. Condylectomy gives good results in selected cases, where the duration of ankylosis is minimal. 3. Longer duration requires wide excision of the condyloid as well as coronoid processes. The opposite side also must be operated on in most late cases. A gap of more than 2 cm is left in order to avoid recurrences. 4. Postoperative physiotherapy of the jaw in the form of active and resistive movements of the jaw, if started early, gives good functional results and helps recover the function of the chewing muscles. 5. Functional results are good even without interposition of soft tissues or use of prostheses. 6. Skeletal traction after operation is unnecessary. 7. The results of adequate resection of bone followed by early and adequate physiotherapy are very gratifying to the patient.
摘要
  1. 关节腔内注射氢化可的松并在全身麻醉下进行被动手法操作无助于下颌活动。2. 在选定的病例中,髁突切除术效果良好,这些病例的关节强直持续时间最短。3. 病程较长则需要广泛切除髁突以及冠状突。大多数晚期病例的对侧也必须进行手术。留出超过2厘米的间隙以避免复发。4. 如果早期开始,以下颌主动和抗阻运动形式进行的下颌术后物理治疗可取得良好的功能效果,并有助于恢复咀嚼肌的功能。5. 即使不进行软组织植入或使用假体,功能效果也很好。6. 术后无需进行骨骼牵引。7. 充分切除骨头并随后进行早期和充分的物理治疗,其结果让患者非常满意。

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