Granquist Eric J
Department of Oral and Maxillofacial Surgery, University of Pennsylvania, Penn Center for Temporomandibular Joint Disorders, Ruth & Raymond Perlman Center for Advanced Medicine, Hospital of the University of Pennsylvania, 3400 Civic Center Boulevard, 4th Floor South Tower, Philadelphia, PA 19104, USA.
Oral Maxillofac Surg Clin North Am. 2018 Feb;30(1):97-107. doi: 10.1016/j.coms.2017.08.002.
The oral and maxillofacial surgeon is instrumental in the management and care of pediatric patients with juvenile idiopathic arthritis (JIA) and should include JIA in the differential when evaluating pediatric patients with temporomandibular joint (TMJ) dysfunction. Medical management has largely decreased the need for surgical intervention, but these patients may require intraarticular steroid injections of the TMJ, close follow-up to monitor their facial growth, and management of the subsequent postinflammatory degenerative TMJ changes. This article reviews the oral and maxillofacial surgeon's role in the care of patients with JIA involvement in the TMJ.
口腔颌面外科医生在青少年特发性关节炎（JIA）患儿的管理和护理中发挥着重要作用，在评估患有颞下颌关节（TMJ）功能障碍的儿科患者时，应将JIA纳入鉴别诊断。药物治疗在很大程度上减少了手术干预的需求，但这些患者可能需要进行颞下颌关节腔内类固醇注射、密切随访以监测其面部生长情况，以及处理随后的炎症后颞下颌关节退行性改变。本文综述了口腔颌面外科医生在护理颞下颌关节受累的JIA患者中的作用。
