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一位患有埃勒斯-当洛斯综合征患者接受全颞下颌关节重建(TJR)后的十年并发症。是另一次手术失误还是 TJR 的绝对禁忌?

A Decade of Complications Following Total Temporomandibular Joint Reconstruction (TJR) in a Patient with Ehlers-Danlos Syndrome. Another Surgical Misadventure or An Absolute Contraindication for TJR?

机构信息

Resident, University of Cincinnati, Department of Surgery, Division of Oral & Maxillofacial Surgery.

Associate Professor of Surgery, Chief of Oral & Maxillofacial Surgery, University of Cincinnati, Department of Surgery, Division of Oral & Maxillofacial Surgery, Cincinnati, OH.

出版信息

J Oral Maxillofac Surg. 2021 Oct;79(10):2059.e1-2059.e5. doi: 10.1016/j.joms.2021.05.016. Epub 2021 May 19.

DOI:10.1016/j.joms.2021.05.016
PMID:34153263
Abstract

This report describes an extensive surgical journey for a patient with Ehlers-Danlos syndrome (EDS) who underwent a total temporomandibular joint reconstruction and illustrates an ongoing challenge for oral and maxillofacial surgeons treating patients with connective tissue disorders and managing chronic pain symptoms. The surgical team attempted multiple procedures including 2 failed total temporomandibular joint replacements and a myocutaneous vascularized free flap. This case demonstrates the potential for postoperative complications in patients with Ehlers-Danlos syndrome.

摘要

本报告描述了一位患有埃勒斯-当洛斯综合征(EDS)的患者的广泛手术历程,该患者接受了全颞下颌关节重建,并说明了口腔颌面外科医生在治疗结缔组织疾病患者和管理慢性疼痛症状方面所面临的持续挑战。手术团队尝试了多种手术,包括 2 次失败的全颞下颌关节置换和 1 次肌皮血管化游离皮瓣。本病例表明了 EDS 患者术后并发症的可能性。

相似文献

1
A Decade of Complications Following Total Temporomandibular Joint Reconstruction (TJR) in a Patient with Ehlers-Danlos Syndrome. Another Surgical Misadventure or An Absolute Contraindication for TJR?一位患有埃勒斯-当洛斯综合征患者接受全颞下颌关节重建(TJR)后的十年并发症。是另一次手术失误还是 TJR 的绝对禁忌?
J Oral Maxillofac Surg. 2021 Oct;79(10):2059.e1-2059.e5. doi: 10.1016/j.joms.2021.05.016. Epub 2021 May 19.
2
TMJ arthroscopy in patients with Ehlers Danlos syndrome: case series.埃勒斯-当洛综合征患者的颞下颌关节镜检查:病例系列
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010 Aug;110(2):e12-20. doi: 10.1016/j.tripleo.2010.03.024.
3
Condylectomy: treatment of recurrent unilateral dislocation of the temporomandibular joint in a patient with Ehlers-Danlos syndrome.髁突切除术:治疗一名患有埃勒斯-当洛综合征患者的复发性颞下颌关节单侧脱位。
Br J Oral Maxillofac Surg. 2019 Jan;57(1):76-78. doi: 10.1016/j.bjoms.2018.09.006. Epub 2018 Dec 28.
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[Temporomandibular joint luxation and Ehlers-Danlos disease. Apropos of a case].[颞下颌关节脱位与埃勒斯-当洛综合征。附病例报告]
Rev Stomatol Chir Maxillofac. 1995;96(6):349-51.
5
Orthognathic Surgery in Ehlers-Danlos Syndrome: Review of the Literature and Case Report.Ehlers-Danlos 综合征中的正颌外科:文献复习与病例报告。
Cleft Palate Craniofac J. 2024 Jun;61(6):1061-1070. doi: 10.1177/10556656231152632. Epub 2023 Jan 22.
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Re: Condylectomy: treatment of recurrent unilateral dislocation of the temporomandibular joint in a patient with Ehlers-Danlos syndrome.回复:髁突切除术:治疗一名患有埃勒斯-丹洛斯综合征患者的复发性颞下颌关节单侧脱位
Br J Oral Maxillofac Surg. 2019 Jun;57(5):482-484. doi: 10.1016/j.bjoms.2019.03.019. Epub 2019 Apr 13.
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Recurrent temporomandibular joint subluxation and facial ecchymosis leading to diagnosis of Ehlers-Danlos syndrome: report of surgical management and review of the literature.复发性颞下颌关节半脱位和面部瘀斑导致埃勒斯-当洛综合征的诊断:手术治疗报告及文献复习
J Oral Maxillofac Surg. 1990 Jun;48(6):641-7. doi: 10.1016/s0278-2391(10)80484-7.
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Orthodontic and temporomandibular joint considerations in treatment of patients with Ehlers-Danlos syndrome.埃勒斯-当洛综合征患者治疗中的正畸和颞下颌关节考量
Am J Orthod Dentofacial Orthop. 1997 Jan;111(1):75-84. doi: 10.1016/s0889-5406(97)70305-6.
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Oral manifestations of Ehlers-Danlos syndrome.埃勒斯-当洛综合征的口腔表现。
J Can Dent Assoc. 2001 Jun;67(6):330-4.
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Temporomandibular disorders, bite force and osseous changes of the temporomandibular joints in patients with hypermobile Ehlers-Danlos syndrome compared to a healthy control group.颞下颌关节紊乱、咬合力和颞下颌关节骨改变在高活动度埃勒斯-当洛斯综合征患者与健康对照组中的比较。
J Oral Rehabil. 2022 Sep;49(9):872-883. doi: 10.1111/joor.13348. Epub 2022 Jun 30.

引用本文的文献

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Surgical treatment of intracapsular temporomandibular disorders.颞下颌关节关节内紊乱的手术治疗。
Acta Odontol Scand. 2024 May 7;83:273-280. doi: 10.2340/aos.v83.40633.
2
Temporomandibular disorders among Ehlers-Danlos syndromes: a narrative review.埃勒斯-当洛斯综合征中的颞下颌关节紊乱:一篇叙述性综述。
J Int Med Res. 2024 Apr;52(4):3000605241242582. doi: 10.1177/03000605241242582.