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退行性颞下颌关节疾病:手术治疗及长期疗效

Degenerative temporomandibular joint disease: surgical treatment and long-term results.

作者信息

Zingg M, Iizuka T, Geering A H, Raveh J

机构信息

Department of Cranio-maxillofacial Surgery, University of Bern, Inselspital, Switzerland.

出版信息

J Oral Maxillofac Surg. 1994 Nov;52(11):1149-58; discussion 1158-9. doi: 10.1016/0278-2391(94)90532-0.

Abstract

PURPOSE

In this study, the long-term evaluation after surgical treatment of temporomandibular joint with manifested degenerative changes and internal derangement is described. The surgical procedure, including extensive exploration and remodeling of the joint, with interposition of lyophilized human costochondral cartilage, is described.

MATERIALS AND METHODS

Thirty-two cases (37 joints) were evaluated at a mean follow-up time of 3.1 and 8.6 years after the surgical treatment.

RESULTS

A significant reduction of dysfunction and pain symptoms was achieved in most cases.

摘要

目的

本研究描述了颞下颌关节出现退行性改变和内紊乱后手术治疗的长期评估情况。描述了手术过程,包括对关节进行广泛探查和重塑,并植入冻干人肋软骨。

材料与方法

对32例(37个关节)患者在手术治疗后平均3.1年和8.6年进行了评估。

结果

大多数病例的功能障碍和疼痛症状明显减轻。

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