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颞下颌关节假体在口腔颌面外科学中的应用:战略思考与展望。

Application of temporomandibular joint prosthesis in oral and maxillofacial surgery: strategic thinking and prospects.

机构信息

State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Dept. of Orthognathic and TMJ Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China.

出版信息

Hua Xi Kou Qiang Yi Xue Za Zhi. 2024 Oct 1;42(5):551-557. doi: 10.7518/hxkq.2024.2024187.

DOI:10.7518/hxkq.2024.2024187
PMID:39304498
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11493870/
Abstract

The temporomandibular joint (TMJ) is the critical functional unit in the human stomatognathic system. Damage of the TMJ causes orofacial dysfunction and secondary jaw deformities, leading to seriously decreased quality of life in patients. The TMJ prosthetic replacement is an important treatment method for severe joint destruction because of its remarkable advantages compared with other methods. In recent years, this technique has gradually attracted wide attention in China, but it has not been popularized on a large scale in our country because of several limitations. Thus, in this study, the clinical experience of patients with TMJ prosthetic replacement in clinical units was summarized, and the treatment principles, treatment processes, and technical advantages were systematically discussed, aiming to promote the popularization and application of TMJ prosthetic replacement in China.

摘要

颞下颌关节(TMJ)是人类口腔颌面部系统的重要功能单位。TMJ 的损伤会导致口颌系统功能障碍和继发的颌骨畸形,严重降低患者的生活质量。TMJ 假体置换术是一种重要的治疗方法,用于严重的关节破坏,与其他方法相比具有显著的优势。近年来,该技术在中国逐渐受到广泛关注,但由于存在一些局限性,尚未在我国得到广泛推广。因此,本研究总结了临床单位 TMJ 假体置换术的临床经验,并系统地讨论了其治疗原则、治疗过程和技术优势,旨在促进 TMJ 假体置换术在我国的推广应用。

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Hua Xi Kou Qiang Yi Xue Za Zhi. 2024 Oct 1;42(5):551-557. doi: 10.7518/hxkq.2024.2024187.
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本文引用的文献

1
Designing customized temporomandibular fossa prosthesis based on envelope surface of condyle movement: validation via musculoskeletal simulation.基于髁突运动包络面设计定制化颞下颌关节窝假体:通过肌肉骨骼模拟进行验证
Front Bioeng Biotechnol. 2023 Oct 31;11:1273263. doi: 10.3389/fbioe.2023.1273263. eCollection 2023.
2
Alloplastic temporomandibular joint replacement - past, present, and future: "Learn from the past, prepare for the future, live in the present." Thomas S. Monson.人工颞下颌关节置换 - 过去、现在和未来:“以史为鉴,未雨绸缪,活在当下。”托马斯·S·蒙森。
Br J Oral Maxillofac Surg. 2024 Jan;62(1):91-96. doi: 10.1016/j.bjoms.2023.10.014. Epub 2023 Oct 26.
3
Comparison of Class II open bite correction by temporomandibular joint prostheses or bimaxillary orthognathic surgery.颞下颌关节假体或双颌正颌手术矫正 II 类开颌的比较。
J Stomatol Oral Maxillofac Surg. 2024 Feb;125(1):101630. doi: 10.1016/j.jormas.2023.101630. Epub 2023 Sep 7.
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[A comparative study of the upper airway changes of idiopathic condylar resorption and anterior open bite patients after bilateral temporomandibular joint prostheses surgery and bimaxillary orthognathic surgery].[双侧颞下颌关节假体手术和双颌正颌手术后特发性髁突吸收与前牙开颌患者上气道变化的比较研究]
Zhonghua Kou Qiang Yi Xue Za Zhi. 2022 Jul 2;57(7):708-715. doi: 10.3760/cma.j.cn112144-20220401-00150.
5
Accuracy of digital templates for guidance of custom-made total temporomandibular joint replacement.数字化模板在定制化全颞下颌关节置换术中的引导精度。
Int J Oral Maxillofac Surg. 2022 Oct;51(10):1330-1336. doi: 10.1016/j.ijom.2022.01.019. Epub 2022 Apr 14.
6
3D-printed porous condylar prosthesis for temporomandibular joint replacement: Design and biomechanical analysis.3D 打印多孔髁突假体在颞下颌关节置换中的设计与生物力学分析。
Technol Health Care. 2022;30(4):1017-1030. doi: 10.3233/THC-213534.
7
Juvenile idiopathic arthritis of the temporomandibular joint - no longer the forgotten joint.颞下颌关节幼年特发性关节炎——不再是被遗忘的关节。
Br J Oral Maxillofac Surg. 2022 Apr;60(3):247-256. doi: 10.1016/j.bjoms.2021.03.013. Epub 2021 Mar 31.
8
[Development and clinical application of custom-made temporomandibular joint-skull base combined prosthesis].[定制颞下颌关节-颅底联合假体的研发与临床应用]
Zhonghua Kou Qiang Yi Xue Za Zhi. 2021 Jul 9;56(7):627-632. doi: 10.3760/cma.j.cn112144-20210412-00169.
9
Prosthetic temporomandibular joint reconstruction in a cohort of adolescent females with juvenile idiopathic arthritis.青少年特发性关节炎女性患者的颞下颌关节假体重建。
Pediatr Rheumatol Online J. 2020 Sep 4;18(1):68. doi: 10.1186/s12969-020-00453-6.
10
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Jpn Dent Sci Rev. 2020 Nov;56(1):77-83. doi: 10.1016/j.jdsr.2020.03.001. Epub 2020 Apr 15.