el-Sheikh M M, Medra A M
Department of Cranio-Maxillofacial and Plastic Surgery, Faculty of Dentistry, Alexandria University, Egypt.
J Craniomaxillofac Surg. 1997 Jun;25(3):109-15. doi: 10.1016/s1010-5182(97)80001-7.
Longstanding unilateral temporomandibular joint ankylosis, which starts during the active growth period in early childhood, results in facial asymmetry. Three problems are encountered: the ankylosed joint; the asymmetric face and, occasionally, upper airway obstruction. Simultaneous surgery was performed on 27 patients to release the joint ankylosis and to correct the facial deformity. Bimaxillary surgery was done for adult patients with occlusal canting, and mandibular surgery alone for adult patients without occlusal canting and for young children. Very satisfactory results were obtained during a follow-up period ranging from 2 to 6 years, regarding the restoration of joint function, improvement in aesthetic appearance and relief of respiratory obstruction.
长期单侧颞下颌关节强直始于儿童早期的生长活跃期，会导致面部不对称。会出现三个问题：关节强直；面部不对称，偶尔还会出现上呼吸道梗阻。对27例患者同时进行手术，以松解关节强直并纠正面部畸形。成年患者有咬合偏斜的进行双颌手术，成年患者无咬合偏斜的以及儿童则仅进行下颌手术。在2至6年的随访期内，在关节功能恢复、美观改善和呼吸梗阻缓解方面均取得了非常满意的结果。
