Burgess Michael, Bowler Michael, Jones Robert, Hase Michael, Murdoch Bruce
Registrar, Oral and Maxillofacial Surgery Unit, Sir Charles Gairdner Hospital, Nedlands, Western Australia, Australia.
Consultant Surgeon, John Hunter Hospital, and Private Practice, Newcastle, New South Wales, Australia.
J Oral Maxillofac Surg. 2014 Jul;72(7):1251-7. doi: 10.1016/j.joms.2014.02.019. Epub 2014 Feb 19.
The aim of the present study was to assess pain, function, diet, and quality of life (QOL) in subjects undergoing alloplastic temporomandibular joint (TMJ) reconstruction.
A total of 72 subjects were sent a questionnaire an average of 4 years after undergoing either unilateral or bilateral total joint replacement with a custom TMJ Concepts or stock Biomet total joint replacement device. The changes in pain, function, diet, and quality of life were assessed.
Of the 72 subjects, 52 returned the questionnaire. Pain, function, diet, and QOL were all significantly improved at a mean follow-up of 46.3 months. The complications reported included an altered facial sensation and facial weakness. No implant failures were reported.
The placement of an alloplastic TMJ total joint replacement can provide benefits for patients in the areas of pain, function, diet, and QOL. Additional research is required in this area.
本研究旨在评估接受人工颞下颌关节（TMJ）重建的受试者的疼痛、功能、饮食及生活质量（QOL）。
共72名受试者在接受单侧或双侧全关节置换后平均4年收到一份问卷，这些置换使用的是定制的TMJ Concepts或Biomet标准全关节置换装置。评估疼痛、功能、饮食及生活质量的变化。
72名受试者中，52人回复了问卷。在平均46.3个月的随访中，疼痛、功能、饮食及生活质量均有显著改善。报告的并发症包括面部感觉改变和面部无力。未报告植入物失败情况。
人工颞下颌关节全关节置换可为患者在疼痛、功能、饮食及生活质量方面带来益处。该领域还需要进一步研究。
