Moriconi E S, Popowich L D, Guernsey L H
Dent Clin North Am. 1986 Apr;30(2):307-25.
The Proplast TMJ condylar implant, the glenoid fossa implant, and the TMJ interpositional implants should be singled out as having provided a new and more predictable mode of TMJ reconstruction. The use of these implants in cases of ankylosis, degenerative joint disease, orthognathic deformities, and traumatic injuries has greatly contributed to the success of these reconstructions. These implants represent the state of the art in TMJ reconstruction and increasing data from longer-term follow-up have shown a rate of success much higher than any previous implant used in the TMJ. TMJ reconstruction requires careful surgical planning, meticulous surgical technique, and intelligent perioperative care. Postoperative physical therapy is considered essential in the management of these patients. Complications related to reankylosis have been virtually eliminated, as no postoperative immobilization is required in most cases. Long-term stability of these implants, due to the ingrowth of tissue into Proplast, appears to be assured. Continued experience with the implants and close follow-up of reconstruction patients is necessary in the future to adequately assess the performance of the newer glenoid fossa and TMJ interpositional implants. Certainly, a new era in TMJ reconstruction has begun, resulting in increased benefits to the patients whom we all serve.
Proplast颞下颌关节髁突植入物、关节盂植入物和颞下颌关节间植入物应被视为提供了一种新的、更可预测的颞下颌关节重建方式。在关节强直、退行性关节疾病、正颌畸形和创伤性损伤病例中使用这些植入物对这些重建手术的成功起到了很大作用。这些植入物代表了颞下颌关节重建的先进水平，来自长期随访的越来越多的数据表明，其成功率远高于此前用于颞下颌关节的任何植入物。颞下颌关节重建需要精心的手术规划、细致的手术技巧和明智的围手术期护理。术后物理治疗被认为是这些患者管理中的关键环节。与再强直相关的并发症几乎已被消除，因为在大多数情况下无需术后固定。由于组织长入Proplast，这些植入物的长期稳定性似乎得到了保证。未来有必要继续积累使用这些植入物的经验并密切随访重建患者，以充分评估新型关节盂和颞下颌关节间植入物的性能。当然，颞下颌关节重建的新时代已经开启，为我们所服务的患者带来了更多益处。
