Mercuri Louis G, Handelman Chester S
Department of Orthopaedic Surgery, Rush University Medical Center, 1611 West Harrison Street, Chicago, IL 60612, USA; TMJ Concepts, 6059 King Drive, Ventura, Ca 93003, USA.
Department of Orthodontics, College of Dentistry University of Illinois, 801 South Paulina, Chicago, IL 60612, USA.
Oral Maxillofac Surg Clin North Am. 2020 Feb;32(1):105-116. doi: 10.1016/j.coms.2019.09.001. Epub 2019 Nov 1.
Idiopathic condylar resorption (ICR), alternatively called progressive condylar resorption, is an uncommon aggressive form of degenerative disease of the temporomandibular joint seen mostly in adolescent and young women. ICR occurring before the completion of growth results in a shorter mandibular condyloid process, ramus and body, compensatory growth at the gonial angle and coronoid process, as well as an increase in anterior facial vertical dimension. Management options discussed include oral appliances, orthodontics, medical management, orthognathic surgery with and without disc repositioning, and alloplastic temporomandibular joint replacement.
特发性髁突吸收（ICR），也称为进行性髁突吸收，是颞下颌关节一种罕见的侵袭性退行性疾病，多见于青少年和年轻女性。生长完成前发生的ICR会导致下颌髁突、升支和体部变短，下颌角和冠突出现代偿性生长，以及面部垂直径增加。讨论的治疗方案包括口腔矫治器、正畸治疗、药物治疗、伴有或不伴有盘复位的正颌手术以及人工颞下颌关节置换。
