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用于多发性髁突创伤后关节强直的全关节假体。

Total joint prosthesis for ankylosis after multiples condylar traumas.

作者信息

Ferreira Pinto Leonardo Augustus Peral, de Guimarães Marco Aurélio, Lima Bernardo Correia, Sotero Sturzinger George Patrick

机构信息

Centro de Tratamento da Face, Rio de Janeiro, Brazil.

Oral and Maxillofacial Surgery Service, Hospital São José, Teresópolis, Brazil.

出版信息

Natl J Maxillofac Surg. 2020 Jul-Dec;11(2):270-274. doi: 10.4103/njms.NJMS_91_20. Epub 2020 Dec 16.

Abstract

Temporomandibular joint (TMJ) ankylosis is a disease commonly associated with facial trauma, especially in the condylar region. Described as a heterotopic bone growth that causes mouth opening limitation, it may occur in trauma cases misdiagnosed or mistreated. We present the case of a 37-year-old female, with decreased mouth opening after three traumas in the region of the right condyle by a motorcycle accident. We performed custom-made total joint replacement of the TMJ to rehabilitate the patient post arthroplasty. TMJ Concepts protocol was followed to perform the patient's rehabilitation. She is being followed since then by a physical therapist to regain the pre-pathosis status of mouth opening, speech, and mastication function.

摘要

颞下颌关节(TMJ)强直是一种通常与面部创伤相关的疾病,尤其是在髁突区域。它被描述为一种导致张口受限的异位骨生长,可能发生在误诊或治疗不当的创伤病例中。我们报告了一例37岁女性的病例,她在右侧髁突区域因摩托车事故遭受三次创伤后出现张口受限。我们为该患者进行了定制的颞下颌关节全关节置换术,以在关节成形术后使患者康复。按照颞下颌关节概念方案对患者进行康复治疗。从那时起,她一直由物理治疗师跟踪治疗,以恢复张口、言语和咀嚼功能的病前状态。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00a5/8051664/bbad1cb5dff9/NJMS-11-270-g001.jpg

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