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物理治疗在一名23岁颞下颌关节强直术后病例中对功能恢复及正常化的关键作用

The Crucial Role of Physiotherapy in the Postoperative Case of Temporomandibular Joint Ankylosis for Restoration and Normalization of Functions in a 23-Year-Old Patient.

作者信息

Bhusari Nikita, Dhage Pooja, Dhage Prasad P

机构信息

Musculoskeletal Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Wardha, IND.

出版信息

Cureus. 2024 Jun 13;16(6):e62291. doi: 10.7759/cureus.62291. eCollection 2024 Jun.

Abstract

Ankylosis of the temporomandibular joint (TMJ) is a pathological condition of the joint. The disease manifests as a limitation to total failure of movement of the TMJ, usually following trauma or surgery or due to local infection. The condition may result in difficulty masticating, speaking, structure of the mouth, face, or jaw, and maintaining oral hygiene to a significant degree. A computed tomography (CT) scan is the best method of evaluating the bony anatomy of the TMJ. The present report shows the surgical correction of the TMJ ankylosis. A 23-year-old female attended the hospital, showing severe mouth opening limitation (9 mm). On investigations, left TMJ ankylosis was diagnosed. The surgical approach consisted of distraction osteogenesis of the left side, followed by vigorous physiotherapy. In patients with TMJ ankylosis, restoration of normal function and jaw movement is difficult. This case report highlights the importance of physiotherapy as an emerging adjuvant therapy in the treatment of TMJ ankylosis. There have also been several treatment methods used to improve the patient's self-esteem and confidence, including speech therapy and psychological counseling.

摘要

颞下颌关节强直是一种关节的病理状况。该疾病表现为颞下颌关节活动受限直至完全无法活动,通常继发于创伤、手术或局部感染。这种情况可能会在很大程度上导致咀嚼困难、说话困难、口腔、面部或颌骨结构改变以及保持口腔卫生困难。计算机断层扫描(CT)是评估颞下颌关节骨解剖结构的最佳方法。本报告展示了颞下颌关节强直的手术矫正。一名23岁女性到医院就诊,表现出严重的张口受限(9毫米)。经检查,诊断为左侧颞下颌关节强直。手术方法包括左侧牵张成骨,随后进行积极的物理治疗。对于颞下颌关节强直患者,恢复正常功能和下颌运动较为困难。本病例报告强调了物理治疗作为颞下颌关节强直治疗中一种新兴辅助治疗方法的重要性。也有几种治疗方法用于提高患者的自尊和信心,包括言语治疗和心理咨询。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2062/11246178/5b888194e3fa/cureus-0016-00000062291-i01.jpg

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