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[颞下颌关节强直外科治疗的临床研究]

[Clinical study of surgical treatment of ankylosis of temporomandibular joint].

作者信息

Hu Tie-xia, Li Zu-bing, Yu Yong-hong, Li Zhi, Zhao Ji-hong, Dong Yao-jun

机构信息

Department of Oral and Maxillofacial Surgery, School of Stomatology, Wuhan University, China.

出版信息

Zhonghua Zheng Xing Wai Ke Za Zhi. 2005 Nov;21(6):408-11.

PMID:16463773
Abstract

OBJECTIVE

To analyze the clinical feature of temporomandibular joint (TMJ) ankylosis and to investigate the advantage and disadvantage of all kind of surgery methods of TMJ ankylosis for supplying references to the treatment of TMJ ankylosis.

METHODS

Aetiology, sex, age at time of treatment, clinical features, radiographic findings, surgical treatment was reviewed and analyzed.

RESULTS

Trauma (66.86%, n = 117) and infection (24.57%, n = 43) were the primary causes of TMJ ankylosis. The 10 approximately 19 years age group (44.57%, n =78) occupied the highest frequency in five age groups, one hundred and fourteen (65.14%, n = 114) of the patients presented with lateral ankylosis. They were carried out different surgery method according to their difference of age, aetiology, and so on.

CONCLUSIONS

The person at 10 approximately 19 years old had the more feasibility of TMJ ankylosis than others. Trauma was the commonest cause of ankylosis. Different surgical method should be choose according to the different patient.

摘要

目的

分析颞下颌关节强直的临床特征,探讨颞下颌关节强直各种手术方法的优缺点,为颞下颌关节强直的治疗提供参考。

方法

回顾分析病因、性别、治疗时年龄、临床特征、影像学表现及手术治疗情况。

结果

创伤(66.86%,n = 117)和感染(24.57%,n = 43)是颞下颌关节强直的主要病因。10至19岁年龄组(44.57%,n = 78)在五个年龄组中占比最高,114例(65.14%,n = 114)患者表现为单侧强直。根据年龄、病因等差异采取不同的手术方法。

结论

10至19岁人群发生颞下颌关节强直的可能性比其他人群更大。创伤是强直最常见的原因。应根据不同患者选择不同的手术方法。

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引用本文的文献

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Clinical course of jaw function recovery following surgical treatment in patients with temporomandibular joint ankylosis- correlation with mouth opening rehabilitation.颞下颌关节强直患者手术治疗后颌功能恢复的临床过程——与开口度康复的相关性
BMC Oral Health. 2025 Mar 22;25(1):423. doi: 10.1186/s12903-025-05806-9.
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Gap Arthroplasty versus Interpositional Arthroplasty for Temporomandibular Joint Ankylosis: A Meta-Analysis.间隙关节成形术与间置物关节成形术治疗颞下颌关节强直的Meta分析
PLoS One. 2015 May 26;10(5):e0127652. doi: 10.1371/journal.pone.0127652. eCollection 2015.