颞下颌关节强直、下颌后缩与重度阻塞性睡眠呼吸暂停三联征：病例报告
A Triad of Temporomandibular Joint Ankylosis, Mandibular Retrognathia and Severe Obstructive Sleep Apnoea: Case report.
作者信息
Al-Nuumani Issa K, Bakathir Abdulaziz, Al-Hashmi Ahmed, Al-Abri Mohammed, Al-Kindi Hussein, Al-Macki Intisar, Al-Balushi Zainab
机构信息
Oral & Maxillofacial Surgery Residency Programme, Oman Medical Specialty Board, Muscat, Oman.
Department of Dental & Maxillofacial Surgery, Sultan Qaboos University Hospital, Muscat, Oman.
出版信息
Sultan Qaboos Univ Med J. 2018 Aug;18(3):e379-e382. doi: 10.18295/squmj.2018.18.03.019. Epub 2018 Dec 19.
Abstract
The surgical management of paediatric patients with temporomandibular joint (TMJ) ankylosis, mandibular retrognathia and obstructive sleep apnoea (OSA) is challenging. We report a nine-year-old boy who presented to the Department of Oral Health, Sultan Qaboos University Hospital, Muscat, Oman, in 2016 with complaints of limited mouth opening, loud snoring and excessive daytime sleepiness. He was diagnosed with TMJ ankylosis, mandibular retrognathia and severe OSA. The patient initially underwent mandibular distraction and, subsequently, release of the TMJ ankylosis and rib graft reconstruction. The overall patient outcome was successful, with improvement in OSA-related symptoms, good facial symmetry and adequate mouth opening.
摘要
患有颞下颌关节（TMJ）强直、下颌后缩和阻塞性睡眠呼吸暂停（OSA）的儿科患者的外科治疗具有挑战性。我们报告一名9岁男孩，他于2016年就诊于阿曼马斯喀特苏丹卡布斯大学医院口腔健康科，主诉张口受限、打鼾和白天过度嗜睡。他被诊断为TMJ强直、下颌后缩和重度OSA。该患者最初接受了下颌骨牵张成骨术，随后进行了TMJ强直松解和肋骨移植重建术。患者总体预后成功，OSA相关症状得到改善，面部对称性良好，张口度充足。
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