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颞下颌关节重建手术中肋软骨移植骨折:一种意外的并发症。

Fracture of costochondral graft in temporomandibular joint reconstructive surgery: an unexpected complication.

作者信息

Merkx M A, Freihofer H P

机构信息

Department of Oral and Maxillofacial Surgery, University Hospital St Radboud, Nijmegen, The Netherlands.

出版信息

Int J Oral Maxillofac Surg. 1995 Apr;24(2):142-4. doi: 10.1016/s0901-5027(06)80087-1.

DOI:10.1016/s0901-5027(06)80087-1
PMID:7608577
Abstract

The case of a 35-year-old woman with a history of several temporomandibular joint (TMJ) operations, including condylectomy, is reported. She presented with myofacial pain and partial fibrous ankylosis of her right TMJ. The ankylosis was released and an autogenous costochondral graft was used to restore the vertical dimension of the ramus. About 3 months after surgery, a fracture of the graft occurred during physical therapy. The cause of this complication is discussed with reference to the literature.

摘要

本文报告了一名35岁女性的病例,该患者有多次颞下颌关节(TMJ)手术史,包括髁突切除术。她表现为右侧颞下颌关节肌筋膜疼痛和部分纤维性关节强直。松解关节强直后,使用自体肋软骨移植来恢复下颌支的垂直高度。术后约3个月,在物理治疗期间移植骨发生骨折。结合文献对该并发症的原因进行了讨论。

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引用本文的文献

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J Clin Med. 2023 Jan 31;12(3):1124. doi: 10.3390/jcm12031124.
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Biomechanical analysis of costochondral graft fracture in temporomandibular joint replacement.颞下颌关节置换中环肋软骨移植物骨折的生物力学分析。
Sci Rep. 2020 Oct 20;10(1):17754. doi: 10.1038/s41598-020-74548-1.
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Fate of Costochondral Graft in Temporomandibular Joint Reconstruction: A Histological Study.
颞下颌关节重建中肋软骨移植物的转归:一项组织学研究
J Maxillofac Oral Surg. 2016 Jun;15(2):179-83. doi: 10.1007/s12663-015-0823-0. Epub 2015 Jul 26.
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Autogenous Reconstructive Modalities of TMJ Ankylosis-A Retrospective Analysis of 45 Cases.颞下颌关节强直的自体重建方式——45例回顾性分析
J Maxillofac Oral Surg. 2014 Dec;13(4):359-65. doi: 10.1007/s12663-013-0504-9. Epub 2013 Mar 31.