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[颞下颌关节假体的进展]

[Progress of temporomandibular joint prosthesis].

作者信息

Sun Quan, Li Kaide, Liu Lei

出版信息

Hua Xi Kou Qiang Yi Xue Za Zhi. 2014 Aug;32(4):422-5. doi: 10.7518/hxkq.2014.04.025.

Abstract

The anatomically and functionally complex nature of the temporomandibularjoint (TMJ) makes its reconstruction one of the most challenging tasks faced by surgeons who operate in the head and neck. TMJ prosthesis is one of the important techniques in the reconstruction of TMJ. The main indications for TMJ prosthesis include ankylosis, fractures of condylar that can't be fixed, trauma or tumor, end-stage TMJ disturbance, and TMJ dysplasia caused by Hallermann-Streiff syndrome. TMJ replacement aims to enhance the function of TMJ, alleviate pain, and prevent serious complications. TMJ prosthesis is advantageous in oral and maxillofacial surgery because it can imitate normal anatomic morphology and adhere to the host. Moreover, the use of other materials is no longer necessary and functional training can be started postoperatively at once, among others. Prosthetic materials have leading and promoting functions in the development of joint prosthesis. Good design, fit shape, and fixation are the necessary conditions for prosthesis to serve its function. Investigation of joint biomechanics is also necessary. With the rapid developments in material science, joint biomechanics, and other related subjects, TMJ prosthesis has been significantly improved in terms of its materials, design, fit shape, and fixation techniques. In addition, the development of TMJ prosthesis would expand its applications. This review intends to provide an overview about the progress and clinical application of TMJ prosthesis.

摘要

颞下颌关节(TMJ)在解剖学和功能上具有复杂性,这使其重建成为头颈外科医生面临的最具挑战性的任务之一。颞下颌关节假体是颞下颌关节重建的重要技术之一。颞下颌关节假体的主要适应证包括关节强直、无法固定的髁突骨折、创伤或肿瘤、终末期颞下颌关节紊乱以及由哈利曼-施特雷夫综合征引起的颞下颌关节发育异常。颞下颌关节置换旨在增强颞下颌关节的功能、减轻疼痛并预防严重并发症。颞下颌关节假体在口腔颌面外科具有优势,因为它可以模仿正常解剖形态并与宿主贴合。此外,不再需要使用其他材料,并且术后可立即开始功能训练等。假体材料在关节假体的发展中具有引领和推动作用。良好的设计、合适的形状和固定是假体发挥功能的必要条件。关节生物力学研究也很有必要。随着材料科学、关节生物力学及其他相关学科的快速发展,颞下颌关节假体在材料、设计、合适形状和固定技术方面都有了显著改进。此外,颞下颌关节假体的发展将扩大其应用范围。本综述旨在概述颞下颌关节假体的进展及临床应用。

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