Blank D M, Stein A C, Gold B D, Berger J
Oral Surg Oral Med Oral Pathol. 1982 Apr;53(4):335-9. doi: 10.1016/0030-4220(82)90430-3.
A case of bilateral protracted mandibular dislocation complicated by the presence of unusual degenerative changes in the temporomandibular joints is presented. A synopsis of treatment modalities that have been used previously to treat similar conditions is given. Our treatment consisted of bilateral condylectomies, eminectomies, and insertion of Proplast-coated Vitallium condylar prostheses. These procedures resulted in the re-establishment of normal TMJ anatomy, the maintenance of proper posterior mandibular vertical dimension, correction of malocclusion, and relief of the patient's symptoms.
本文报告一例双侧下颌关节长期脱位并伴有颞下颌关节罕见退行性改变的病例。文中给出了此前用于治疗类似病症的治疗方法概述。我们的治疗方法包括双侧髁突切除术、关节结节切除术以及植入Proplast涂层的维塔利姆髁突假体。这些手术使颞下颌关节的正常解剖结构得以重建,维持了下颌后部正常的垂直尺寸,矫正了咬合不正,并缓解了患者的症状。