Candirli Celal, Esen Alparslan, Taskesen Fatih, Celik Salih, Cakir Banu
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Karadeniz Technical University, Trabzon, Turkey.
J Craniofac Surg. 2012 Nov;23(6):1654-7. doi: 10.1097/SCS.0b013e318260ef99.
We investigated the effects of unilateral discectomy with an abdominal dermis-fat graft of the temporomandibular joint (TMJ) on the contralateral side.
A total of 14 patients who underwent unilateral TMJ discectomy and dermis-fat grafting for severe internal derangement in 2009 and 2010 were included. Clinical parameters, such as maximum mouth opening and lateral movements of the mandible, were recorded preoperatively and at 1 year postoperatively. Preoperative and 1-year postoperative magnetic resonance imaging was conducted to determine the duration of the operated and unoperated TMJs.
All 14 patients showed improvement in the mandibular mobility and function. However, postsurgical disc displacement without reduction was observed on the unoperated TMJ in 1 patient. Another patient complained of crepitus on the operated TMJ. Primary occlusal contact on the operated side of occlusion was observed in 2 other patients. Maximum mouth opening and measured lateral movements had increased in all patients at 1 year after the operation.
我们研究了颞下颌关节（TMJ）单侧椎间盘切除术联合腹部真皮脂肪移植对另一侧TMJ的影响。
纳入2009年和2010年因严重关节内紊乱接受单侧TMJ椎间盘切除术和真皮脂肪移植的14例患者。术前和术后1年记录临床参数，如下颌最大开口度和侧向运动。术前行磁共振成像检查，术后1年复查，以确定手术侧和未手术侧TMJ的情况。
14例患者下颌活动度和功能均有改善。然而，1例患者未手术侧TMJ出现术后不可复性盘移位。另1例患者手术侧TMJ出现弹响。另外2例患者手术侧咬合出现原发性咬合接触。术后1年所有患者的最大开口度和测量的侧向运动均增加。
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