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颞下颌关节骨关节炎:手术干预诱导的动物模型综述

Temporomandibular joint osteoarthritis: A review of animal models induced by surgical interventions.

作者信息

Zhou Jiahao, Ren Rong, Li Zhen, Zhu Songsong, Jiang Nan

机构信息

State Key Laboratory of Oral Diseases and National Clinical Research Center for Oral Disease and West China Hospital of Stomatology, Sichuan University, Chengdu, China.

AO Research Institute Davos, Davos, Switzerland.

出版信息

Oral Dis. 2023 Oct;29(7):2521-2528. doi: 10.1111/odi.14266. Epub 2022 Jun 10.

Abstract

OBJECTIVES

The pathological mechanism of temporomandibular joint osteoarthritis (TMJOA) is still unclear. Animal models induced by surgical interventions are one of the most ideal tools to imitate human pathological conditions. This review aims to define the similarities and differences of different surgical animal models.

METHODS

Articles of TMJOA surgical animal models were collected including anterior disc displacement, disc perforation, and discectomy. We analyzed their experiments strategies based on comparing preoperative selection, intraoperative methodology, and postoperative manifestations.

RESULTS

No matter which surgical intervention is selected, abnormal stress forces the whole joint to remodel its structure so that it could adapt to functional requirements, resulting in TMJOA eventually. However, anterior disc displacement needs more than 16 weeks to obtain typical manifestations, where the methodology is complicated. The course of perforation and discectomy is around 12-16 weeks, but they could cause excessive damage to the TMJ structure.

CONCLUSIONS

All surgical interventions can cause TMJOA, but the extent of pathology varies from each other. This review will assist future experiments to better understand the pathogenesis of TMJOA and choose the most appropriate model.

摘要

目的

颞下颌关节骨关节炎(TMJOA)的病理机制仍不清楚。手术干预诱导的动物模型是模拟人类病理状况的最理想工具之一。本综述旨在明确不同手术动物模型的异同。

方法

收集了包括前盘移位、盘穿孔和椎间盘切除术在内的TMJOA手术动物模型的文章。我们通过比较术前选择、术中方法和术后表现来分析它们的实验策略。

结果

无论选择哪种手术干预,异常应力都会迫使整个关节重塑其结构,以使其能够适应功能需求,最终导致TMJOA。然而,前盘移位需要超过16周才能获得典型表现,其方法复杂。穿孔和椎间盘切除术的病程约为12 - 16周,但它们可能会对TMJ结构造成过度损伤。

结论

所有手术干预都可导致TMJOA,但病理程度各不相同。本综述将有助于未来的实验更好地理解TMJOA的发病机制并选择最合适的模型。

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