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特发性髁突吸收/进行性髁突吸收的治疗现状——一项范围综述

Current Status of the Management of Idiopathic Condylar Resorption/Progressive Condylar Resorption-A Scoping Review.

作者信息

Tanaka Eiji, Mercuri Louis G

机构信息

Department of Orthodontics and Dentofacial Orthopedics, Tokushima University Graduate School of Biomedical Sciences, Tokushima 770-8504, Japan.

Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL 60612, USA.

出版信息

J Clin Med. 2024 Jul 5;13(13):3951. doi: 10.3390/jcm13133951.

Abstract

The temporomandibular joint (TMJ) is a complex synovial joint shrouded in mystery, as the etiology of many TMJ disorders are unsolved. Idiopathic/progressive condylar resorption (ICR/PCR) is one such TMJ disorder characterized by a gradually deteriorating mandibular condylar mass, resulting in severe mandibular retrognathia, which often accompanied by clockwise rotation of mandible and an anterior open bite. Since the etiology of the ICR/PCR remains unclear, no definitive prevention or management options have been established. To date, various symptomatic non-surgical, surgical, and salvage management options have been developed and reported. To understand the current status of the ICR/PCR management options, this article provides an overview of the options presently reported in the literature to reduce its TMJ symptoms and improve mandibular function and form.

摘要

颞下颌关节(TMJ)是一个复杂的滑膜关节,充满了神秘色彩,因为许多颞下颌关节疾病的病因尚未解决。特发性/进行性髁突吸收(ICR/PCR)就是这样一种颞下颌关节疾病,其特征是下颌髁突质量逐渐恶化,导致严重的下颌后缩,常伴有下颌顺时针旋转和前牙开合。由于ICR/PCR的病因仍不清楚,尚未确立明确的预防或治疗方案。迄今为止,已经开发并报道了各种对症的非手术、手术和挽救治疗方案。为了解ICR/PCR治疗方案的现状,本文概述了目前文献中报道的旨在减轻其颞下颌关节症状、改善下颌功能和形态的方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0b5/11242904/301ccfce6f7a/jcm-13-03951-g001.jpg

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