Movahed Reza, Teschke Marcus, Wolford Larry M
Current Fellow, Department of Orthognathic and Temporomandibular Joint Surgery, Baylor College of Dentistry, Texas A&M University System Health Science Center, Baylor University Medical Center, Dallas, TX.
J Oral Maxillofac Surg. 2013 Dec;71(12):2123-9. doi: 10.1016/j.joms.2013.07.024. Epub 2013 Oct 13.
Clinicians who address temporomandibular joint (TMJ) pathology and dentofacial deformities surgically can perform the surgery in 1 stage or 2 separate stages. The 2-stage approach requires the patient to undergo 2 separate operations and anesthesia, significantly prolonging the overall treatment. However, performing concomitant TMJ and orthognathic surgery (CTOS) in these cases requires careful treatment planning and surgical proficiency in the 2 surgical areas. This article presents a new treatment protocol for the application of computer-assisted surgical simulation in CTOS cases requiring reconstruction with patient-fitted total joint prostheses. The traditional and new CTOS protocols are described and compared. The new CTOS protocol helps decrease the preoperative workup time and increase the accuracy of model surgery.
通过手术治疗颞下颌关节（TMJ）病变和牙颌面畸形的临床医生可以分1期或2期进行手术。两阶段方法要求患者接受2次单独的手术和麻醉，显著延长了整体治疗时间。然而，在这些病例中同时进行颞下颌关节和正颌手术（CTOS）需要在这两个手术领域进行仔细的治疗规划和手术熟练程度。本文介绍了一种新的治疗方案，用于在需要使用患者定制全关节假体进行重建的CTOS病例中应用计算机辅助手术模拟。描述并比较了传统和新的CTOS方案。新的CTOS方案有助于减少术前检查时间并提高模型手术的准确性。
