Ortega Alejandre J J, Avila Parrao J, Piña Velazco G
Hospital Central de la Cruz Roja Mexicana.
Pract Odontol. 1990 Apr;11(4):55-8.
A case of post-traumatic temporomandibular joint ankylosis is described, and the technique of the treatment is detailed. Previous review of the literature was made in order to know the advantages of the treatment. There are several reports of children who have suffered facial injuries and fractures of the facial bones that became into ankylosis, characterized by the formation of new temporomandibular joint surfaces. The patient was a five years old girl who presented ankylosis of TMJ due to a car accident six months before. The symptom were: Limitation of motion, persistent close lock of mouth (2 mm) muscle pain that causes the patient to avoid eating foods, and the gradual loose of phonetic function. Condylectomy of the left mandibular condyle was performed to correct the mechanical problems associated to ankylosis. The patient had an uncomplicated postoperative course, and now are waiting the outcome of the treatment by a follow up study.
本文描述了一例创伤后颞下颌关节强直病例，并详细介绍了治疗技术。为了解该治疗方法的优势，此前对相关文献进行了回顾。有几篇关于儿童面部受伤及面骨骨折后发生关节强直的报道，其特征为新的颞下颌关节面形成。该患者为一名5岁女童，6个月前因车祸导致颞下颌关节强直。症状包括：运动受限、持续性闭口锁结（2毫米）、肌肉疼痛致使患者避免进食以及语音功能逐渐丧失。为纠正与关节强直相关的机械问题，实施了左侧下颌骨髁突切除术。患者术后恢复过程顺利，目前正通过随访研究等待治疗结果。
