el-Sheikh M M, Medra A M, Warda M H
Cranio-Maxillo-Facial and Plastic Surgery Department, Faculty of Dentistry, Alexandria University, Egypt.
J Craniomaxillofac Surg. 1996 Apr;24(2):96-103. doi: 10.1016/s1010-5182(96)80020-5.
This paper describes our experience in the treatment of 10 patients with bilateral longstanding temporomandibular joint ankylosis occurring during the active growth period and causing severe bird face deformity. The clinical manifestations were: (1) upper airway obstruction in the form of either severe night snoring or obstructive sleep apnoea; (2) inability to open the mouth and (3) severely convex facial profile. Surgery consists of simultaneous release of the ankylosed joints, advancement of the mandible and insertion of posterior mandibular costochondral graft struts. A Le Fort I osteotomy was performed concomitantly in marked deformities to help in the restoration of the posterior facial height. Dramatic improvement in the airway, facial profile and jaw function were obtained by this programme.
本文描述了我们治疗10例双侧长期颞下颌关节强直患者的经验，这些患者在生长活跃期发病，导致严重的鸟面畸形。临床表现为：（1）以严重夜间打鼾或阻塞性睡眠呼吸暂停形式出现的上呼吸道梗阻；（2）无法张口；（3）严重凸面型。手术包括同时松解强直关节、下颌骨前移和植入下颌后肋软骨移植支撑物。对于明显畸形的患者，同时进行Le Fort I截骨术以帮助恢复面部后份高度。通过该方案，气道、面部轮廓和颌功能得到了显著改善。
