Gallucci A, Graillon N, Foletti J M, Chossegros C, Cheynet F
Service de chirurgie maxillofaciale et stomatologie hôpital de la Conception, 147, boulevard Baille, 13005 Marseille, France.
Service de chirurgie maxillofaciale et stomatologie hôpital de la Conception, 147, boulevard Baille, 13005 Marseille, France.
Rev Stomatol Chir Maxillofac Chir Orale. 2016 Sep;117(4):240-4. doi: 10.1016/j.revsto.2016.07.013. Epub 2016 Aug 21.
Congenital deformities of the mandibular ramus and of the temporo-mandibular joint are treated by surgery since the early 20th century. However, morphological and functional results are often disappointing, accounting for iterative operations. Today, a clear consensus concerning the type of intervention to be proposed, and at what age it should be carried out does not yet exist. For mild cases, "conventional" orthognathic or osteogenic distraction procedures seem to work well, especially if they are carried out at the end of growth. In severe cases, it is often necessary to proceed in several surgical steps, usually starting with a chondrocostal graft, especially when interceptive surgery, performed before the end of growth, is preferred in order to improve the patient's quality of life.
自20世纪初以来，下颌支和颞下颌关节的先天性畸形一直通过手术治疗。然而，形态和功能结果往往令人失望，这导致了反复手术。如今，对于应采用何种干预方式以及在什么年龄进行干预，尚未达成明确共识。对于轻度病例，“传统的”正颌或骨生成性牵张手术似乎效果良好，尤其是在生长末期进行时。在严重病例中，通常需要分几个手术步骤进行，通常先进行肋软骨移植，特别是当在生长结束前进行截骨手术以改善患者生活质量时更受青睐。
