Saeed N R, Kent J N
Department of Oral & Maxillofacial Surgery, Cheltenham General Hospital, Sandford Road, Cheltenham, GL53 7AN, UK.
Int J Oral Maxillofac Surg. 2003 Dec;32(6):606-9. doi: 10.1054/ijom.2003.0418.
A retrospective review of 76 costochondral grafts (57 patients) was undertaken to determine outcome with respect to the extent of previous surgery (none, disc surgery or soft tissue graft, alloplastic disc, alloplastic joint, previous graft) and to initial and preoperative diagnosis. The minimum follow up period was 2 years and for each patient both subjective (pain and dietary interference scores) and objective (interincisal distance) data was recorded. Collectively there was improvement in pain (mean 6.7 to 3.5) and diet (mean 2.2 to 3.0) scores with a moderate increase in interincisal distance (mean 21 to 24mm). In patients with no previous surgery, arthritic disease or congenital deformity the costochondral graft performed well but in patients with previous alloplastic discs and/or total joints the results were less predictable. A preoperative diagnosis of ankylosis was associated with a high complication and further surgery rate suggesting caution in this group of patients.
对76例肋软骨移植术（57例患者）进行了回顾性研究，以确定既往手术范围（无、椎间盘手术或软组织移植、人工椎间盘、人工关节、既往移植）以及初始和术前诊断的结果。最短随访期为2年，记录了每位患者的主观数据（疼痛和饮食干扰评分）和客观数据（切牙间距离）。总体而言，疼痛评分（平均从6.7降至3.5）和饮食评分（平均从2.2升至3.0）有所改善，切牙间距离适度增加（平均从21毫米增至24毫米）。在无既往手术、关节炎疾病或先天性畸形的患者中，肋软骨移植效果良好，但在有既往人工椎间盘和/或全关节的患者中，结果较难预测。术前诊断为关节强直与高并发症和进一步手术率相关，提示对此类患者需谨慎。
