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颞下颌关节盘后区双板区的再认识。

Reconsideration of the bilaminar zone in the retrodiskal area of the temporomandibular joint.

作者信息

Kino K, Ohmura Y, Amagasa T

机构信息

First Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Tokyo Medical and Dental University, Japan.

出版信息

Oral Surg Oral Med Oral Pathol. 1993 Apr;75(4):410-21. doi: 10.1016/0030-4220(93)90162-w.

Abstract

The fibrous connection of the diskal attachment to the condyle and to the surrounding structures, and of the retrodiskal area was investigated histologically. Sections, obtained from six temporomandibular joints with the condyle protruded, were mainly observed. Most of the collagen fibers that compose the posterior band were attached to the condylar poles and to those vicinities behind them, and no diskal attachment was found to the posterior aspect of the condyle. Elastin-rich fibers that originate from the petrotympanic fissure were attached to the disk at the medial end. These fibers had many branches that compose a part of the retrodiskal area and were very wavy in spite of the protruded position of the disk-condyle complex. No other fibers directly connected the disk with the posterior wall of the fossa. Therefore we concluded that there were no upper and the lower strata as termed by Rees.

摘要

对椎间盘附着于髁突及周围结构以及盘后区的纤维连接进行了组织学研究。主要观察了取自六个髁突前突的颞下颌关节的切片。构成后带的大部分胶原纤维附着于髁突极及其后方附近,未发现椎间盘附着于髁突后方。源自岩鼓裂的富含弹性蛋白的纤维在内侧端附着于盘。这些纤维有许多分支,构成盘后区的一部分,尽管盘 - 髁复合体处于前突位置,但它们非常弯曲。没有其他纤维直接将盘与窝的后壁相连。因此,我们得出结论,不存在里斯所说的上层和下层。

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