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肌力,肌软骨移植重建颞下颌关节27例
引用本文:刘恭奇 李祖兵. 肌力,肌软骨移植重建颞下颌关节27例[J]. 中华整形外科杂志, 2000, 16(3): 163-165
作者姓名:刘恭奇 李祖兵
作者单位:湖北医科大学口腔医学院
摘    要:目的 探讨颞下颌关节真性强直的手术治疗和避免术后复发。方法 采用自体肋骨、肋软骨移植对27例颞下颌关节真性强直患者进行了关节重建术,术后随访,计算手术前后张口度的差值,检查咬合关系、下颌前伸和侧向运动功能,行关节X线检查。结果 27例随访1~10年术前后张口度的差值均在2.0cm以上,效果优良,重建关节无骨质吸收,咬合关节良好,下颌具有前伸和侧向运动功能,无复发。结论 自体肋骨、肋软骨移植的颞下颌

关 键 词:颞下颌关节强直 关节重建术 肌骨移植
修稿时间:1998-11-16

Autogenous costochondral graft applied in the reconstruction of the temporomandibular joint
LIU Gongqi,LI Zubing,DONG Yaojun,et al.. Autogenous costochondral graft applied in the reconstruction of the temporomandibular joint[J]. Chinese journal of plastic surgery, 2000, 16(3): 163-165
Authors:LIU Gongqi  LI Zubing  DONG Yaojun  et al.
Affiliation:Department of OMFS, College of Stomatology, Hubei Medical University, Wuhan 430070, PR China.
Abstract:OBJECTIVE: To study the surgical treatment of ankylosis of the temporomandibular joint. METHODS: Autogenous costochondral grafts were applied in the reconstruction of the temporomandibular joint in 27 cases with condyle ankylosis from 1988-1998. The follow up period was 1-10 years. The pre- and post-operative degree of mouth opening and the TMJ function was examined. RESULTS: Postoperative mouth opening was improved up to 2 cm in the 27 cases. All the results were successful without recrudescence of condyle ankylosis. CONCLUSION: The use of autogenous costochondral grafts in TMJ reconstruction is the best method in the treatment of TMJ ankylosis.
Keywords:Costicartilage  Condyle ankylosis  Joint reconstruction
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