Reich R H
Klinik und Poliklinik für Mund-, Kiefer- und Gesichtschirurgie Medizinische Hochschule Hannover.
Dtsch Zahnarztl Z. 1991 Jan;46(1):60-2.
Four cases of unilateral juvenile growth retardation of the lower jaw caused by trauma of the temporomandibular joint are presented (age 5-13 years, 1 female, 3 male). Three cases had ankylosis of the TMJ. In all patients, a reconstruction of the condyle by transplantation of rib or iliac crest grafts was performed. Follow-up time was 1.5 to 3 years. Postoperatively, good function was achieved in all cases; a tendency for growth induction was found in 3 cases, overgrowth in one case. Severe impediment of lower jaw mobility, when combined with foreseeable growth impediment, as well as traumatically induced hypoplasia are proposed as indications for autologous joint reconstruction.
本文报告了4例因颞下颌关节创伤导致的单侧青少年下颌骨生长发育迟缓病例（年龄5 - 13岁，1例女性，3例男性）。3例存在颞下颌关节强直。所有患者均采用肋骨或髂嵴移植进行髁突重建。随访时间为1.5至3年。术后所有病例功能恢复良好；3例有生长诱导倾向，1例出现过度生长。严重的下颌活动受限，伴有可预见的生长障碍以及创伤性发育不全，被认为是自体关节重建的指征。
