Dupuis A, Michaud J
Ann Otolaryngol Chir Cervicofac. 1981;98(10-11):547-56.
Permanent constrictions of the jaws are of various types depending on the site of the lesion: temporomaxillary ankylosis, extra-articular constrictions of bone, skin, muscle, or mucosal origin, and those arising from tumors. The commonest cause is injury, those due to infection being currently less frequently observed, which cannot be said for those of tumoral origin. The consequences are difficulty in taking foud and poor buccodental hygiene, while temporomaxillary ankylosis in children provokes mandibular growth disturbances. Surgical treatment is aimed at removing the constriction. Total resection of the ankylosed block is essential to avoid recurrences, while reeducation of buccal opening must be started early and continued for long periods in all cases.
颞下颌关节强直、骨、皮肤、肌肉或黏膜来源的关节外挛缩以及由肿瘤引起的挛缩。最常见的原因是损伤,目前因感染导致的情况较少见,而肿瘤源性的情况并非如此。其后果是进食困难和口腔牙齿卫生不良,而儿童的颞下颌关节强直会引发下颌生长紊乱。手术治疗旨在解除挛缩。必须完全切除强直块以避免复发,而在所有病例中,都必须尽早开始并长期持续进行开口功能的康复训练。