Rahman Sajjad Abdur, Rahman Tabishur, Hashmi Ghulam Sarwar, Ahmed Syed Saeed, Ansari Mohammad Kalim, Sami Abdus
Department of Oral and Maxillofacial Surgery, Faculty of Medicine, Aligarh Muslim University, Aligarh, Uttar Pradesh, India.
Craniomaxillofac Trauma Reconstr. 2020 Mar;13(1):53-58. doi: 10.1177/1943387520903876. Epub 2020 Apr 2.
Management of temporomandibular joint (TMJ) ankylosis is mainly through surgical intervention. Interpositional materials are a necessity when it comes to prevention of TMJ re-ankylosis after arthroplasty. Early aggressive postoperative physiotherapy is essential for the prevention or treatment of TMJ hypomobility or ankyloses. Recently, it has been shown that abdominal dermis fat helps promote smooth, pain-free joint function and it is stable after interposition and less prone to fragmentation. The purpose of this study was to assess that whether dermal fat is a good choice of interpositional material when it comes to decreased pain perception during aggressive physiotherapy after release of ankyloses thus ensuring good compliance by the patient. We also assessed the fate of the graft material on computed tomography to evaluate any volume changes if occurred after interposition.
颞下颌关节（TMJ）强直的治疗主要通过手术干预。在关节成形术后预防TMJ再次强直方面，植入材料是必需的。术后早期积极的物理治疗对于预防或治疗TMJ活动度降低或强直至关重要。最近的研究表明，腹部真皮脂肪有助于促进关节功能顺畅、无痛，植入后稳定且不易破碎。本研究的目的是评估在强直松解术后积极物理治疗期间，真皮脂肪作为植入材料在减轻疼痛感知方面是否是一个好的选择，从而确保患者的良好依从性。我们还通过计算机断层扫描评估移植材料的转归，以评估植入后是否发生任何体积变化。
