Odontostomatology Department, University of Parma, Italy.
Eur J Paediatr Dent. 2013 Dec;14(4):295-8.
Moebius syndrome is a rare condition characterised by bilateral facial and abducens nerve paralysis. In the present study, it was investigated the effect of the long term facial muscles hypoactivity on temporomandibular joint movements development.
Accordingly with Terzis classification (Terzis, 2003), a wide sample of A type and B type Moebius patients was investigated for mandibular range of movements. Moebius patients were compared with a sample of healthy subjects.
Both type A and type B Moebius patients develop a severe articular movement reduction, especially during mouth opening. A highly significant difference was found between Moebius patients and the healthy group. No difference was found between A and B Moebius sub-samples.
The authors stress the importance of an early adequate rehabilitation of Moebius patients, in order to avoid the limitation of TMJ movement range.
Moebius 综合征是一种罕见的疾病,其特征是双侧面部和展神经麻痹。本研究旨在探讨长期面部肌肉活动不足对颞下颌关节运动发育的影响。
根据 Terzis 分类(Terzis,2003),对广泛的 A 型和 B 型 Moebius 患者的下颌运动范围进行了研究。将 Moebius 患者与健康受试者样本进行了比较。
A 型和 B 型 Moebius 患者的关节运动均明显减少,尤其是张口时。Moebius 患者与健康组之间存在显著差异。A 型和 B 型 Moebius 亚组之间无差异。
作者强调了对 Moebius 患者进行早期充分康复的重要性,以避免 TMJ 运动范围受限。