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- 2018
儿童颞下颌关节强直及其继发畸形的矫治
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Abstract:
摘要 目的: 探讨儿童颞下颌关节强直及其继发畸形的治疗方法及疗效。方法: 回顾分析18例颞下颌关节强直继发牙颌面畸形患儿的临床资料,对患儿手术前后口腔功能、颜面外形及影像学资料进行分析,随访12~40月。结果: 所有患儿均实施重建髁突的关节成形术,重建材料包括肋骨肋软骨移植、冠突移植及牵张成骨术,并同时进行牙颌面畸形的矫治。未发现感染、面神经损伤和复发病例。所有患儿的术后张口度明显增大(术前平均2.83 mm,术后12月平均30.5 mm,Z=3.733,P<0.05),咀嚼、吞咽、发音和呼吸等口腔功能在长期随访期间得到明显改善。多数患儿的牙颌面畸形得到不同程度的改善。结论: 本研究为儿童颞下颌关节强直继发牙颌面畸形的治疗提供参考,早期治疗和定期复查对于儿童颞下颌关节强直及其继发畸形的治疗至关重要
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