Medra Ahmed M M
Department of Cranio-Maxillo-Facial, Oral & Plastic Surgery, Faculty of Dentistry, Alexandria University, Alexandria, Egypt.
Br J Oral Maxillofac Surg. 2005 Apr;43(2):118-22. doi: 10.1016/j.bjoms.2004.05.004.
The records of 55 patients with ankylosis of the temporomandibular joint (25 unilateral and 30 bilateral); were selected at random. In these patients, the resected condyles had been replaced with costochondral grafts and the patients were followed clinically and radiographically for 7-10 years. Of the 85 grafts, we found take and good remodeling in 50 (59%), reankylosis in 8 (9%), resorption of the graft in 21 (25%) and overgrowth of the graft in 3 (4%). Mouth opening was satisfactory (more than 25 mm) in 32 of the 55 patients (58%), unsatisfactory (between 5 and 25 mm) in 10 (18%), and the operation was a failure in 13 (24%).
随机选取了55例颞下颌关节强直患者的记录（25例单侧强直，30例双侧强直）。在这些患者中，切除的髁突已用肋软骨移植替代，并且对患者进行了7至10年的临床和影像学随访。在85块移植骨中，我们发现50块（59%）存活且重塑良好，8块（9%）再次强直，21块（25%）移植骨吸收，3块（4%）移植骨过度生长。55例患者中有32例（58%）开口度令人满意（超过25毫米），10例（18%）不满意（5至25毫米之间），13例（24%）手术失败。
