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颞下颌关节盘穿孔诊断和治疗的研究进展
引用本文:王雨婕,顾姣娜,汤良晨,李志勇. 颞下颌关节盘穿孔诊断和治疗的研究进展[J]. 中国医疗美容, 2022, 0(2): 79-84
作者姓名:王雨婕  顾姣娜  汤良晨  李志勇
作者单位:浙江大学医学院附属口腔医院·浙江大学口腔医学院·浙江省口腔疾病临床医学研究中心·浙江省口腔生物医学研究重点实验室·浙江大学癌症研究院颌面外科
基金项目:浙江省自然科学基金(LY20H140003)。
摘    要:
关节盘穿孔(disc perforation,DP)是颞下颌关节紊乱病晚期的症状之一,与关节内结构紊乱和髁突骨关节病有密切关系,主要表现为关节区疼痛、张口受限等症状,严重时甚至导致颌面部畸形.症状的相似性和关节的结构复杂性使DP的诊断存在一定的挑战.MRI在临床上广泛用于颞下颌关节成像,可能是一种识别DP简便有效的方法...

关 键 词:颞下颌关节盘穿孔  关节盘前移位  骨关节病  磁共振  组织工程

Advance of diagnosis and treatment of temporomandibular joint disc perforation
WANG Yu-jie,GU Jiao-na,TANG Liang-chen,LI Zhi-yong. Advance of diagnosis and treatment of temporomandibular joint disc perforation[J]. China Medical Cosmetology, 2022, 0(2): 79-84
Authors:WANG Yu-jie  GU Jiao-na  TANG Liang-chen  LI Zhi-yong
Affiliation:(Maxillofacial surgery,Stomatology Hospital,School of Stomatology,Zhejiang University School of Medicine,Clinical Research Center for Oral Diseases of Zhejiang Province,Key Laboratory of Oral Biomedical Research of Zhejiang Province,Cancer Center of Zhejiang University,Zhejiang Province,310006)
Abstract:
Disc perforation(DP)is one of the late symptoms of temporomandibular joint disorders,which is closely related to intra-articular structural disorders and condylar arthropathy.It mainly manifests as pain in the joint area and limited mouth opening,and even lead to maxillofacial deformity.The diagnosis of DP is challenging because of the similarity of symptoms and the structural complexity of the joints.MRI is widely used in clinical imaging of temporomandibular joint and may be a simple and effective method to identify DP.Conservative,minimally invasive,and open surgery can be used depending on the course,symptoms,and severity of the lesion.The development of tissue engineering technology in recent years has provided new restorative ideas.This article reviewed the characteristics,development,diagnosis and treatment of articular disc perforation in order to provide a reference for clinicians.
Keywords:Temporomandibular joint disc perforation  Anterior disc displacement  Temporomandibular joint osteoarthritis  Magnetic resonance imaging  Tissue engineering
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