下颌升支矢状劈开截骨对颞下颌关节形态和功能的影响

Effect of sagittal split ramus osteotomy for mandibular prognathism on the modality and function of temporomandibular joint

  • 摘要: 目的:研究下颌升支矢状劈开截骨术对关节形态及功能的影响。方法:34例下颌前突患者行下颌升支矢状劈开截骨术及小型钛板坚固内固定,术后行颌间弹性牵引并配合正畸治疗。结果:经1~4年随访,术后患者咬合关系恢复良好,颞下颌关节疼痛及弹响消失或缓解。结论:下颌升支矢状劈开截骨术能有效矫治下颌骨前突,手术时应确保髁状突在关节窝就位,防止关节紊乱症状。

     

    Abstract: Objective:To investigate the characteristic of sagittal split ramus osteotomy(SSRO) on mandibular prognathism and its influence to the modality and function of temporomandibular joint(TMJ).Methods:Thirty four patients with mandibular prognathism were selected and underwent after-operative orthodontics treatment,SSRO with mini-plates rigid internal fixation,postoperative elastic traction and orthodontics.Results:After one to four year following-up,well occluding were acquired after the surgery,and the symptom of TMJ disappeard or relieved.Conclusion:It is suggested that SSRO may be an effective way to correct mandibular prognathism,and the condyle should be located in the glenoid fossa to avoid the symptom of TMJ.

     

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