Guarda-Nardini Luca, Cocilovo Francesco, Olivo Marco, Ferronato Giuseppe, Manfredini Daniele
From the *Department of Maxillofacial Surgery, TMD Clinic, Department of Maxillofacial Surgery, and †School of Dentistry, University of Padova, Italy.
J Craniofac Surg. 2014 May;25(3):988-90. doi: 10.1097/SCS.0000000000000568.
The current article describes a case of a patient with temporomandibular joint (TMJ) ankylosis undergoing surgery performed with a tailored technique for condylar reshaping. A patient with posttraumatic bilateral TMJ ankylosis underwent interpositional arthroplasty with temporalis fascia, and focus was put on the need to maintain the vertical height of the mandible. The postoperative course was uneventful, and positive outcomes were kept during a 1-year follow-up span. The adoption of surgical strategies aiming at restoring a condylar shape as similar as possible to the natural one may be important in the light of the search for surgeries providing and/or recreating normal function of the TMJ.
本文描述了一例颞下颌关节（TMJ）强直患者接受手术的病例，该手术采用了定制的髁突重塑技术。一名创伤后双侧TMJ强直患者接受了颞肌筋膜间置关节成形术，并着重强调了维持下颌骨垂直高度的必要性。术后过程顺利，在1年的随访期内保持了良好的效果。鉴于寻求能够提供和/或重建TMJ正常功能的手术，采用旨在恢复尽可能接近自然形状的髁突形状的手术策略可能很重要。
