Turco M, Di Cosola M, Faccioni F, Cortelazzi R
Department of Maxillofacial Surgery, University of Bari, Bari, Italy.
Minerva Stomatol. 2007 Apr;56(4):181-90.
In order to evaluate the reliability of interpositional gap arthroplasty with temporalis myofascial flap the authors retrospectively analysed the data of 5 patients suffering from bilateral temporomandibular ankylosis operated on with this technique.
The preoperative assessment included evaluation of pain during function, interference with eating and the maximal interincisal distance. All patients received bony ankylosis removal, interposition of a finger-shaped temporalis myofascial flap in the articular gap and coverage with temporoparietal fascial flap as a new capsule. In the postoperative period an aggressive physiotherapy was carried on for at least 6 months.
All cases experimented release of pain (evaluated by a Visual Analogue Scale method), a return to a normal diet and a stable improvement in mouth opening during the follow-up period.
This technique should be considered a reliable method to avoid relapse of ankylosis and to stabilize postoperative results.
为评估颞肌筋膜瓣间隙关节成形术的可靠性，作者回顾性分析了5例采用该技术治疗的双侧颞下颌关节强直患者的数据。
术前评估包括功能时疼痛、进食干扰和最大切牙间距离的评估。所有患者均接受了骨性强直切除，在关节间隙置入指状颞肌筋膜瓣，并以颞顶筋膜瓣覆盖作为新的关节囊。术后进行至少6个月的积极物理治疗。
所有病例在随访期间均出现疼痛缓解（采用视觉模拟评分法评估）、恢复正常饮食且开口度稳定改善。
该技术应被视为一种可靠的方法，可避免关节强直复发并稳定术后效果。
