Taglialatela Scafati Carmine, Taglialatela Scafati Salvatore
Servizio di Chirurgia-Maxillo-Facciale, Ospedale Santa Maria delle Grazie, Pozzuoli (Napoli), Italy.
J Craniofac Surg. 2012 Sep;23(5):e420-3. doi: 10.1097/SCS.0b013e31825e3ca2.
The management of chronic mandibular dislocation is controversial: many advocate conservative treatment, whereas others believe surgery can improve the symptoms and prevent dislocation recurrence. We report 7 consecutive cases of hyperdivergent patients with recurrent mandibular dislocation, who were treated using combined maxillary surgery that allowed the modification of the facial pattern from dolichofacial to mesofacial. At a 1-year follow-up, all patients did not have any episode of mandibular dislocation; moreover, a general improvement of symptoms associated with temporomandibular joint disorders was observed.
许多人主张保守治疗，而另一些人则认为手术可以改善症状并防止脱位复发。我们报告了连续7例下颌过度发育且复发性下颌关节脱位的患者，他们接受了上颌联合手术治疗，这种手术能够将面部形态从长面型改变为中面型。在1年的随访中，所有患者均未出现下颌关节脱位的情况；此外，还观察到与颞下颌关节紊乱相关的症状普遍有所改善。
