Bowler J D
Ann R Australas Coll Dent Surg. 1991 Oct;11:209-17.
Juvenile rheumatoid arthritis can result in destruction of the temporomandibular joints producing a characteristic facial growth deficiency. Features include loss of vertical ramus height, marked antegonial notching and a Class II malocclusion frequently with an anterior open bite. Two cases are presented, both treated surgically utilizing bilateral autologous costochondral grafts to replace the temporomandibular joints and increase the vertical ramus height. Postoperative orthodontic therapy was employed to close the surgically created posterior open bite in each case. Autologous dermis was used in the most recently treated case as an interpositional soft tissue layer between the glenoid fossa and the costochondral graft.
青少年类风湿性关节炎可导致颞下颌关节破坏，产生特征性的面部生长发育不足。其特征包括下颌支垂直高度丧失、明显的下颌角切迹以及常伴有前牙开颌的Ⅱ类错颌。本文介绍了两例病例，均采用双侧自体肋软骨移植进行手术治疗，以替代颞下颌关节并增加下颌支垂直高度。在每例病例中，术后均采用正畸治疗来关闭手术造成的后牙开颌。在最近治疗的病例中，使用自体真皮作为关节窝和肋软骨移植之间的间置软组织层。
