采用颞肌前束骨瓣填塞治疗颞下颌关节紊乱病。

Anterior pedicle temporalis muscle flap interposition in the treatment of TMJ disorders.

机构信息

Service de stomatologie et chirurgie maxilla-faciale, GH Pitie-Salpêtrière-Charles Foix, AP-HP, DHU FAST, 75013 Paris, France; Sorbonne universités, UPMC Univ-Paris 06, UMR 8256 B2A, 75005 Paris, France.

出版信息

J Stomatol Oral Maxillofac Surg. 2018 Sep;119(4):325-327. doi: 10.1016/j.jormas.2018.03.003. Epub 2018 Mar 9.

DOI:10.1016/j.jormas.2018.03.003

PMID:29530735

Abstract

UNLABELLED

Temporomandibular joint (TMJ) disorders are a common reason for consultation. Failure of medical treatments sometimes leads to the need for one of many surgical alternatives. Our purpose was to evaluate the results of anterior pedicle temporalis muscle flap interposition in the treatment of TMJ disorders.

MATERIAL AND METHODS

For this prospective study, we selected 18 patients who underwent TMJ surgery involving the interposition of a temporalis muscle flap according to a standardized technique, between January 1, 2009 and August 31, 2014. CT imaging was performed on all patients prior to surgery. We documented the etiology of TMJ dysfunction, pre and postoperative pain using a visual analogue scale (VAS), pre and postoperative (last consultation) mouth opening, and complications. We used the Wilcoxon test for our statistical analysis.

RESULTS

We observed a significant variation in preoperative and postoperative pain and mouth opening, with an average decrease in VAS values of 4.9/10 and an average increase of mouth opening of 11.1mm. No major complications were observed.

DISCUSSION

The interposition of an anterior pedicle temporalis muscle flap in the treatment of temporomandibular joint disorder is a simple and effective technique.

摘要

目的

评估髁突前带蒂颞肌瓣置入术治疗颞下颌关节紊乱病的效果。

材料和方法

前瞻性研究选择了 2009 年 1 月 1 日至 2014 年 8 月 31 日期间，根据标准化技术行髁突前带蒂颞肌瓣置入术治疗的 18 例颞下颌关节紊乱病患者。所有患者术前均行 CT 影像学检查。记录颞下颌关节功能障碍的病因、术前和术后疼痛（采用视觉模拟评分法）、术前和术后（末次就诊时）张口度以及并发症。统计学分析采用 Wilcoxon 检验。