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一名创伤患者颞下颌关节慢性持续性脱位——病例报告

Chronic Protracted Dislocation of Temporomandibular Joint in a Trauma Patient - A Case Report.

作者信息

Navaneetham Romir, Navaneetham Anuradha, Pugazhendi Satish Kumaran, Nara Gnapika, Umarani Priyanka Jagadish

机构信息

Department of Maxillofacial Surgery, Brains Super Speciality Hospital, Bengaluru, Karnataka, India.

Department of Maxillofacial Surgery, Mathrusri Ramabai Ambedkar Dental College and Hospital, Bengaluru, Karnataka, India.

出版信息

Ann Maxillofac Surg. 2023 Jan-Jun;13(1):130-132. doi: 10.4103/ams.ams_40_23. Epub 2023 Aug 2.

DOI:10.4103/ams.ams_40_23
PMID:37711528
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10499274/
Abstract

RATIONALE

Chronic protracted temporomandibular joint (TMJ) dislocation refers to a condition that persists for more than one month without reduction.

PATIENT CONCERNS

A 47-year-old male patient first presented to the Department of Maxillofacial Surgery complaining of the inability to close his mouth for nine months.

DIAGNOSIS

Chronic protracted dislocation of the temporomandibular joint.

TREATMENT

An initial conservative approach was attempted to reduce the condyle, which was unsuccessful. As literature suggests, open-joint surgery with eminectomy and condylectomy of bilateral joints was performed.

OUTCOMES AND TAKE-AWAY LESSONS: A stagewise treatment is essential for such cases of long-standing TMJ dislocations. A conservative approach is first attempted followed by surgery if the conservative approach is unsuccessful. Postsurgery physiotherapy is essential for a better prognosis.

摘要

理论依据

慢性迁延性颞下颌关节(TMJ)脱位是指持续一个月以上未复位的情况。

患者情况

一名47岁男性患者首次到颌面外科就诊,主诉无法闭口九个月。

诊断

颞下颌关节慢性迁延性脱位。

治疗

最初尝试采用保守方法复位髁突,但未成功。正如文献所建议的,对双侧关节进行了开放性关节手术,包括颞骨切除术和髁突切除术。

结果与经验教训

对于这种长期TMJ脱位的病例,分阶段治疗至关重要。首先尝试保守方法,若保守方法失败则进行手术。术后物理治疗对于更好的预后至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a9b/10499274/331372996fdb/AMS-13-130-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a9b/10499274/8541f69db578/AMS-13-130-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a9b/10499274/331372996fdb/AMS-13-130-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a9b/10499274/8541f69db578/AMS-13-130-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a9b/10499274/331372996fdb/AMS-13-130-g002.jpg

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本文引用的文献

1
Chronic Long-Standing Temporomandibular Joint Dislocation: Report of Three Cases and Review of Literature.慢性长期颞下颌关节脱位:三例报告及文献综述
J Maxillofac Oral Surg. 2018 Dec;17(4):502-507. doi: 10.1007/s12663-017-1066-z. Epub 2017 Dec 16.
2
Surgical management of chronic temporomandibular joint dislocations.
Indian J Dent Res. 2018 Jul-Aug;29(4):455-458. doi: 10.4103/ijdr.IJDR_493_18.
3
Temporomandibular chronic dislocation: The long-standing condition.颞下颌关节慢性脱位:长期存在的病症。
Med Oral Patol Oral Cir Bucal. 2016 Nov 1;21(6):e776-e783. doi: 10.4317/medoral.21221.
4
Evaluation of the mechanism and principles of management of temporomandibular joint dislocation. Systematic review of literature and a proposed new classification of temporomandibular joint dislocation.评价颞下颌关节脱位的机制和管理原则。文献系统回顾与颞下颌关节脱位新分类建议。
Head Face Med. 2011 Jun 15;7:10. doi: 10.1186/1746-160X-7-10.
5
Management of long-standing mandibular dislocation.长期下颌脱位的处理。
Int J Oral Maxillofac Surg. 2011 Aug;40(8):810-4. doi: 10.1016/j.ijom.2011.02.031. Epub 2011 Apr 6.
6
A survey of temporomandibular joint dislocation: aetiology, demographics, risk factors and management in 96 Nigerian cases.一项关于颞下颌关节脱位的调查:96例尼日利亚病例的病因、人口统计学、危险因素及治疗
Int J Oral Maxillofac Surg. 2005 Jul;34(5):499-502. doi: 10.1016/j.ijom.2004.10.025. Epub 2005 Jan 26.