Couly G
Chir Pediatr. 1982;23(5):305-8.
The well-meaning wait-and-see policy when confronted with uni-or bilateral temporomandibular ankylosis in children is now out-of-date. An early conservative arthroplasty with temporal aponeuroplasty should be performed for several reasons. --Recent advances have increased our knowledge of the biology and development of fetal and infant temporomandibular joints. --Anaesthesia by fibroscopy during endotracheal intubation of the child with permanent jaw constriction is now a safe technique. --The developmental anatomy of the temporomandibular joints allows, employing an appropriate approach, the performance of conservative arthrolysis, associated with a local temporal aponeuroplasty in interposition, and thus avoids recurrence of ankylosis.
面对儿童单侧或双侧颞下颌关节强直时,善意的观望政策如今已过时。出于几个原因,应尽早进行带颞肌筋膜成形术的保守性关节成形术。——最近的进展增加了我们对胎儿和婴儿颞下颌关节生物学及发育的了解。——对于患有永久性颌部挛缩的儿童,在气管内插管期间通过纤维镜进行麻醉现在是一种安全技术。——颞下颌关节的发育解剖结构允许采用适当的方法进行保守性关节松解术,并在其间进行局部颞肌筋膜成形术,从而避免关节强直复发。