Boyne P J
Oral and Maxillofacial Surgery, Loma Linda University Medical Center, California.
J Oral Maxillofac Surg. 1989 Mar;47(3):228-32. doi: 10.1016/0278-2391(89)90223-1.
A technique of free grafting of the mandibular condyle with a vertical ramus osteotomy is advocated in cases presenting with markedly displaced fracture dislocation of the condyle, in reconstruction of the TMJ after mandibular resection, and in providing access for vascular surgery approaches to the treatment of carotid aneurysms. The technique of free transplantation of the condyle did not result in any aseptic necrosis or any arthritic changes in 35 patients observed over a period of 3 to 15 years. All patients had excellent TMJ function.
对于髁突明显移位骨折脱位的病例、下颌骨切除术后颞下颌关节的重建以及为颈动脉动脉瘤治疗的血管外科手术入路提供通道的情况，提倡采用垂直升支截骨术进行下颌髁突的游离移植技术。在对35例患者进行3至15年的观察中，髁突游离移植技术未导致任何无菌性坏死或任何关节炎改变。所有患者的颞下颌关节功能均极佳。
