Treatment guidelines for temporomandibular joint ankylosis with secondary dentofacial deformities in adults

被引:27
作者
Zhu, Songsong [1 ,2 ]
Wang, Dazhang [2 ]
Yin, Qiudan [1 ]
Hu, Jing [2 ]
机构
[1] Sichuan Univ, State Key Lab Oral Dis, Chengdu 610041, Peoples R China
[2] Sichuan Univ, West China Coll Stomatol, Ctr Orthognath & TMJ Surg, Dept Oral & Maxillofacial Surg, Chengdu 610041, Peoples R China
关键词
Temporomandibular joint; Ankylosis; Treatment; Deformity; Adult; AUTOGENOUS CORONOID PROCESS; SAGITTAL SPLIT OSTEOTOMY; TMJ ANKYLOSIS; DISTRACTION OSTEOGENESIS; CONDYLAR RECONSTRUCTION; MANDIBULAR CONDYLE; SURGICAL-TREATMENT; FOLLOW-UP; TEMPORALIS MUSCLE; MANAGEMENT;
D O I
10.1016/j.jcms.2012.11.038
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Temporomandibular joint (TMJ) ankylosis with secondary dentofacial deformities in adult patients is a severely disfiguring condition and surgical treatment of this disease remains a great clinical challenge. Treatment goals are to restore the joint function, to improve facial appearances and to correct malocclusion, as well as to re-establishing harmony among them. Currently, various surgical techniques, such as arthroplasty with or without interpositional material, orthognathic surgery, distraction osteogenesis, autologous bone or bone replacement materials graft and plastic surgery, have been described in the literature. In most cases these techniques should be used in combination to achieve satisfactory outcomes. The biggest difficulty for most clinicians is to determine the proper sequence of these procedures because no uniform treatment protocol has been established. Based on the published literature and our own clinical experiences, we have prepared this review article to provide some guidelines for the surgical management of TMJ ankylosis with dentofacial deformities in adults, which will be modified and updated periodically to provide the best treatment options to benefit our patients. (C) 2012 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:E117 / E127
页数:11
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