Mackool Richard L, Shetye Pradip, Grayson Barry, McCarthy Joseph G
The Institute of Reconstructive Plastic Surgery, New York, New York.
J Craniofac Surg. 2006 Mar;17(2):387-90. doi: 10.1097/00001665-200603000-00034.
We present a 26-year-old patient with juvenile-onset arthritis, Alagille's syndrome, micrognathia, and progressive sleep apnea. Despite the presence of significant temporomandibular joint pathology, mandibular distraction was indicated to correct life-threatening sleep apnea. Before distraction, the patient had only 10 mm of maximal interincisal opening and bilateral temporomandibular joint symptomatology. After distraction, the patient's sleep apnea resolved. There was slight improvement in her maximal incisal opening (12 mm) with neither exacerbation nor improvement of her temporomandibular joint symptomatology.
我们报告一名26岁患有幼年型关节炎、阿拉吉列综合征、小颌畸形和进行性睡眠呼吸暂停的患者。尽管存在明显的颞下颌关节病变，但仍建议进行下颌骨牵张以纠正危及生命的睡眠呼吸暂停。在牵张之前，患者最大切牙间开口仅为10毫米，并有双侧颞下颌关节症状。牵张后，患者的睡眠呼吸暂停得到缓解。她的最大切牙间开口略有改善（12毫米），颞下颌关节症状既没有加重也没有改善。
