175例颞下颌关节强直手术治疗回顾性分析

目的回顾分析颞下颌关节强直的临床资料，总结各种关节成形、重建手术术式的优缺点，为颞下颌关节强自的治疗提供参考：方法对175例患者发病特征以及所采用的手术术式进行回顾分析。结果本组病例中男女性别1．54：1；10～19岁病例占绝大多数；创伤导致关节发生强直为主要致病原因；手术术式依时间，具体情况而不同。结论少年儿童为颞下颌关节强直的高发年龄段。导致颞下颌关节发生强直的病因以刨伤为主。手术术式有各自的适应证，需不同情况合理选择。

Cinical study of surgical treatment of ankyiosis of temporomandibular joint

OBJECTIVE: To analyze the clinical feature of temporomandibular joint (TMJ) ankylosis and to investigate the advantage and disadvantage of all kind of surgery methods of TMJ ankylosis for supplying references to the treatment of TMJ ankylosis. METHODS: Aetiology, sex, age at time of treatment, clinical features, radiographic findings, surgical treatment was reviewed and analyzed. RESULTS: Trauma (66.86%, n = 117) and infection (24.57%, n = 43) were the primary causes of TMJ ankylosis. The 10 approximately 19 years age group (44.57%, n =78) occupied the highest frequency in five age groups, one hundred and fourteen (65.14%, n = 114) of the patients presented with lateral ankylosis. They were carried out different surgery method according to their difference of age, aetiology, and so on. CONCLUSIONS: The person at 10 approximately 19 years old had the more feasibility of TMJ ankylosis than others. Trauma was the commonest cause of ankylosis. Different surgical method should be choose according to the different patient.