Chouinard Anne-Frédérique, Kaban Leonard B, Peacock Zachary S
Department of Stomatology, Université de Montréal, 2900, Boul. Édouard-Montpetit, Montréal, Québec, H3T 1J4, Canada; Private Practice, 975 Notre-Dame, Montréal, Québec H8S 2C1, Canada.
Department of Oral and Maxillofacial Surgery, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA.
Oral Maxillofac Surg Clin North Am. 2018 Feb;30(1):83-96. doi: 10.1016/j.coms.2017.08.005.
Mandibular growth is a complex process that involves the "functional matrix," an interaction of the muscles of mastication, occlusion, and jaw function. Although not a typical growth center, the mandibular condyle has a significant effect on the ultimate size, shape and function of the mandible and secondarily on overall facial form. Acquired temporomandibular joint (TMJ)/condylar abnormalities, such as juvenile idiopathic arthritis, idiopathic condylar resorption, TMJ ankylosis, and condylar hyperplasia, often result in facial deformity and functional deficits. Accurate diagnosis is critical for the clinician to assess potential progression of deformity, predict prognosis, and plan treatment.
下颌骨生长是一个复杂的过程，涉及“功能基质”，即咀嚼肌、咬合和颌功能之间的相互作用。虽然下颌骨髁突不是典型的生长中心，但它对下颌骨的最终大小、形状和功能有显著影响，进而对面部整体形态也有影响。获得性颞下颌关节（TMJ）/髁突异常，如幼年特发性关节炎、特发性髁突吸收、TMJ关节强直和髁突增生，常导致面部畸形和功能缺陷。准确诊断对于临床医生评估畸形的潜在进展、预测预后和制定治疗计划至关重要。
