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下颌升支矢状劈开截骨术前移下颌对颞下颌关节的影响

[The effect of sagittal split ramus osteotomy for advancing the mandible on temporomandibular joint].

作者信息

Yang X W

机构信息

Affiliated Hospital for stomatology, Hubei Medical College, Wuhan.

出版信息

Zhonghua Kou Qiang Yi Xue Za Zhi. 1993 Jul;28(4):225-7, 255.

PMID:8174408
Abstract

10 patients who received sagittal split ramus osteotomy for advance the mandible were examined clinically and radiographically to assess condylar position preoperatively and six months postoperatively. The results showed after surgery maximal interincisal opening was significantly reduced; anterior, upper, posterior space of temporomandibular joint were changed; 14/20 condyles were relatively retropositioned; and 6/20 condyles were relatively forward positioned. Alteration in condylar position may undergo adjustment and remodeling in order to adapt the new position in most patients. In some patients symptoms and signs of the joint disappear following changing of condylar position.

摘要

对10例行下颌升支矢状劈开截骨术以前移下颌骨的患者进行了临床和影像学检查,以评估术前及术后6个月髁突位置。结果显示,术后最大切牙间开口度明显减小;颞下颌关节的前、上、后间隙发生改变;20个髁突中有14个相对后移,20个髁突中有6个相对前移。大多数患者髁突位置的改变可能会进行调整和重塑,以适应新的位置。在一些患者中,随着髁突位置的改变,关节的症状和体征消失。

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