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使用Samsid定制关节假体进行全颞下颌关节置换:一例随访16年的病例报告

Total Temporomandibular Joint Replacement by Samsid Customized Joint Prosthesis: A Case Report with 16 Years of Follow-Up.

作者信息

Chaware Suresh

机构信息

Department of Plastic and Reconstructive Surgery, Saundaryacity Hair Transplant and Plastic Surgery Clinic, Dhantoli, Nagpur, India.

出版信息

Indian J Plast Surg. 2024 Oct 18;58(2):115-122. doi: 10.1055/s-0044-1791944. eCollection 2025 Apr.

DOI:10.1055/s-0044-1791944
PMID:40385678
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12084098/
Abstract

Total temporomandibular joint replacement (TMJR) is a surgical intervention employed for the management of advanced temporomandibular joint (TMJ) disorders, particularly when autogenous grafts are not recommended. With stainless steel implant of glenoid fossa attempted for the correction of ankylosis in the 1960s, total TMJR-which minimizes foreign body reaction and consists of highly biocompatible materials such as Cr-Co-Mo alloy, titanium, and ultra-high-molecular-weight polyethylene-began to be applied. These alloplastic prostheses are available in both standardized and customized forms, comprising components for the mandibular condyle and glenoid fossa. The present case report presents India's first TMJR in a 12-year-old female patient with TMJ ankylosis. Total TMJR was done in her with India's first customized TMJ prosthesis (Samsid TMJ prosthesis), which was designed and manufactured by the author for the first time in India. This study presents a 16-year follow-up of customized TMJR, addressing TMJ ankylosis. Our research showcases the long-term success of Samsid TMJ prostheses in improving pain, oral function, diet, and overall quality of life. The case report also highlights the potential of Samsid TMJ prostheses as a valuable solution for TMJ patients, emphasizing the importance of tailored solutions for lasting joint function restoration. The results presented indicate that the Samsid patient-fitted total TMJR system remains a secure, efficient, and dependable long-term treatment option for the particular patient demographic examined in this research.

摘要

全颞下颌关节置换术(TMJR)是一种用于治疗晚期颞下颌关节(TMJ)疾病的外科手术,尤其是在不推荐使用自体移植物的情况下。20世纪60年代曾尝试用不锈钢植入关节窝来矫正关节强直,而全TMJR——可将异物反应降至最低,由铬钴钼合金、钛和超高分子量聚乙烯等高生物相容性材料组成——开始得到应用。这些人工假体有标准化和定制两种形式,包括下颌髁突和关节窝的组件。本病例报告介绍了印度首例为一名患有TMJ关节强直的12岁女性患者进行的TMJR。为她进行了全TMJR,使用的是印度首个定制的TMJ假体(Samsid TMJ假体),该假体由作者在印度首次设计和制造。本研究对定制TMJR治疗TMJ关节强直进行了16年的随访。我们的研究展示了Samsid TMJ假体在改善疼痛、口腔功能、饮食和整体生活质量方面的长期成功。该病例报告还强调了Samsid TMJ假体作为TMJ患者的一种有价值解决方案的潜力,强调了定制解决方案对持久恢复关节功能的重要性。给出的结果表明,对于本研究中所研究的特定患者群体,Samsid患者适配全TMJR系统仍然是一种安全、高效且可靠的长期治疗选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78e5/12084098/7a518d6b6aa5/10-1055-s-0044-1791944-i2442781-8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78e5/12084098/8c0dcc6ecfcc/10-1055-s-0044-1791944-i2442781-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78e5/12084098/53cb086071e0/10-1055-s-0044-1791944-i2442781-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78e5/12084098/0c71cbbd5c33/10-1055-s-0044-1791944-i2442781-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78e5/12084098/132350893f45/10-1055-s-0044-1791944-i2442781-7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78e5/12084098/7a518d6b6aa5/10-1055-s-0044-1791944-i2442781-8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78e5/12084098/8c0dcc6ecfcc/10-1055-s-0044-1791944-i2442781-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78e5/12084098/53cb086071e0/10-1055-s-0044-1791944-i2442781-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78e5/12084098/0c71cbbd5c33/10-1055-s-0044-1791944-i2442781-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78e5/12084098/132350893f45/10-1055-s-0044-1791944-i2442781-7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78e5/12084098/7a518d6b6aa5/10-1055-s-0044-1791944-i2442781-8.jpg

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本文引用的文献

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Ann Maxillofac Surg. 2020 Jul-Dec;10(2):344-352. doi: 10.4103/ams.ams_132_20. Epub 2020 Dec 23.
2
The use of cutting/positioning devices for custom-fitted temporomandibular joint alloplastic reconstruction: current knowledge and development of a new system.用于定制贴合颞下颌关节假体重建的切割/定位装置:当前知识和新系统的发展。
Int J Oral Maxillofac Surg. 2021 Apr;50(4):530-537. doi: 10.1016/j.ijom.2020.09.016. Epub 2020 Oct 20.
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Temporomandibular joint alloplastic reconstruction of post-traumatic joint degeneration with Sawhney Type I ankylosis using 3D-custom GD-condylar cap prosthesis to restore condylar form and function.
应用 3D 定制 GD 髁突帽假体行 Sawhney Ⅰ型强直的创伤后关节退变的颞下颌关节再造,以恢复髁突形态和功能。
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Costochondral grafting for paediatric temporomandibular joint reconstruction: 10-year outcomes in 55 cases.肋软骨移植用于小儿颞下颌关节重建:55例患者的10年随访结果
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Maxillo-Mandibular Reconstruction in Pediatric Patients: How To Do It?小儿患者的颌骨重建:如何进行?
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Temporomandibular joint reconstruction with stock and custom-made devices: Indications and results of a 14-year experience.颞下颌关节重建用库存和定制设备:14 年经验的适应证和结果。
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