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題 名 | 以鈦金屬髁頭立即重建下顎骨髁狀突缺損=Immediate Reconstruction with Titanium Head after Mandibular Condylectomy |
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作 者 | 李正喆; 楊博正; 郭生興; 郭英雄; 韓良俊; | 書刊名 | 中華牙醫學雜誌 |
卷 期 | 16:3 1997.09[民86.09] |
頁 次 | 頁156-166 |
分類號 | 416.95 |
關鍵詞 | 髁狀突切除術; 鈦金屬髁頭; 立即重建; Condylectomy; Titanium head; Immediate reconstruction; |
語 文 | 中文(Chinese) |
中文摘要 | 本文報告臺大醫院口腔顎面外科過去八年中,以鈦金屬立即重建13例因手術導致 下顎骨髁狀突缺損的病例,術後發現所有病例正中咬合正常,咀嚼及言語無困難,平均最大 開口達 33mm,各種顎咬合運動功能皆在可接受範圍,兩側顎關節區亦無疼痛現象。 有四例 發生較明顯後遺症,包括二例金屬髁頭所連接之鈦金屬骨板暴露及二例鈦金屬髁頭移位,其 中有二例因移位及腫瘤復發而需移除金屬髁頭;其它病例則無明顯後遺症發生。因此與其它 重建手術比較,以鈦金屬重建下顎骨髁頭可提供在功能上令人滿意且立即、安全的方法,且 在經過 3 年 1 個月的平均觀察期後,仍具有穩定及生物體相容的特性,亦可考慮做為下顎 骨髁頭半永久的重建材料。 |
英文摘要 | The report presents 13 cases of immediate reconstruction with a titanium condyle after condylectomy over the past 8 years. Postoperative follow-up of all 13 patients revealed normal CO position and no difficulty in chewing and speech. The average maximum mouth opening was 33mm (interincisal) and jaw movements in various directions were acceptable. All patients were pain free over the bilateral TMJ areas. Major complications were encountered in 4 cases. In two cases the connected titanium plate was exposed and dislocation of the metallic condyle was found in another two patients. Tumor recurrence was noted in still another patient. No significant complications were observed in the other cases. We believe that the technique described in the article provides an immediate, safe and functionally satisfactory means of reconstruction in patients undergoing mandibular condylectomy. Because of the biocompatibility of the material and the stability of the condyles noted in our series, the procedure might be recognized as a semi-permanent method for condylar reconstruction. |
本系統中英文摘要資訊取自各篇刊載內容。