Maas C P H J, Theyse L F H
Department of Clinical Sciences of Companion Animals, Faculty of Veterinary Medicine, Universiteit Utrecht, Yalelaan 8, 3508 TD Utrecht, The Netherlands.
Vet Comp Orthop Traumatol. 2007;20(3):192-7.
Temporomandibular joint (TMJ) ankylosis is characterized by difficulty or inability to open the mouth. The ankylosis may be articular ('true') or extra-articular ('false'). Clinical signs, radiographic studies, treatment and follow-up are presented in a retrospective study involving five cats and five dogs. The findings were compared with TMJ ankylosis in humans. CT imaging with three-dimensional reconstruction proved to be of great value in determining the extent of the abnormalities and helped with preoperative planning. Articular TMJ ankylosis occurred in six animals and extra-articular TMJ ankylosis was found in the other four cases. In three cats and in three dogs, the TMJ ankylosis was trauma related; the remaining patients were diagnosed with a tumour. Resection of ankylosing tissue in false ankylosis or gap arthroplasty in true ankylosis was successful in all of the trauma induced cases. In the two cats, with tumour related ankylosis, the ankylosis was caused by an osteoma and resection had a good prognosis, whereas the two dogs had to be euthanatized.
颞下颌关节(TMJ)强直的特征是张口困难或无法张口。强直可能是关节内的(“真性”)或关节外的(“假性”)。一项涉及五只猫和五只狗的回顾性研究展示了临床体征、影像学研究、治疗及随访情况。研究结果与人类颞下颌关节强直进行了比较。三维重建CT成像在确定异常范围方面具有重要价值,并有助于术前规划。六只动物发生了关节内颞下颌关节强直,另外四只病例发现了关节外颞下颌关节强直。在三只猫和三只狗中,颞下颌关节强直与创伤有关;其余患者被诊断为肿瘤。在所有创伤性病例中,假性强直的强直组织切除或真性强直的间隙关节成形术均获成功。在两只与肿瘤相关的猫中,强直由骨瘤引起,切除后预后良好,而两只狗不得不实施安乐死。