de Castro e Silva Lucas Martins, Pereira Filho Valfrido Antonio, Vieira Eduardo Hochuli, Gabrielli Mário Francisco Real
School Dentistry of Araraquara/UNESP, Oral and Maxillofacial Surgery Department, Humaíta Street 1680, 14801-903, Araraquara, São Paulo, Brazil.
Br J Oral Maxillofac Surg. 2011 Oct;49(7):e47-9. doi: 10.1016/j.bjoms.2010.10.007. Epub 2010 Nov 11.
Ankylosis of the temporomandibular joint in children is one the most difficult and complex conditions managed by oral and maxillofacial surgeons, and often leads to some facial deformity. Distraction osteogenesis of the mandible provides an excellent treatment for mandibular airway obstruction in children who do not respond to conservative measures, and allows for early removal of the tracheostomy. We report the case of a 1-year-old boy with severe micrognathia and temporomandibular ankylosis who was dependent on a tracheostomy; he was treated with piezosurgery and mandibular advancement by distraction osteogenesis.
儿童颞下颌关节强直是口腔颌面外科医生面临的最困难和复杂的病症之一，常导致面部畸形。下颌骨牵张成骨术为对保守治疗无反应的儿童下颌气道梗阻提供了一种极佳的治疗方法，并能使气管造口术得以早期拔除。我们报告一例1岁男童，患有严重小颌畸形和颞下颌关节强直，依赖气管造口术；采用压电手术和下颌骨牵张成骨术进行下颌前徙治疗。
