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題名 | Treating Lower Jaw Protruding with Internal Derangement of Temporomandibular Joints by Bilateral Modified Condylotomy--A Case Report=以改良式雙側下顎髁切開術治療下顎前突合併顳顎關節內紊亂--病例報告 |
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作者 | 蔡百泰; 邱國洲; 謝義興; 王宜斌; 陳元武; | 書刊名 | 中華民國家庭牙醫學雜誌 |
卷期 | 10:3 2015.12[民104.12] |
頁次 | 頁51-56 |
分類號 | 416.953 |
關鍵詞 | 改良式下顎髁切開術; 顳顎關節內紊亂; Modified condylotomy; Internal derangement of temporomandibular joint; |
語文 | 英文(English) |
中文摘要 | 下顎髁切開術被應用在治療許多顳顎關節疾病,其中以口內垂直式下顎上升枝切開術為基礎的改良式下顎髁切開術可造成下顎髁頭向下的位移。這樣的術式可增加顳顎關節內空間,使得關節盤與下顎髁頭得到較佳的空間相對關係,也因此可以改善顳顎關節內紊亂的相關症狀。我們在此報告一位同時患有下顎前突及顳顎關節紊亂(威爾克斯第1-2期)的24歲女性,在接受了口內垂直式下顎上升枝切開術以改善其下顎前突後,其顳顎關節內紊亂的症狀也同時得到改善。 |
英文摘要 | Condylotomy serves as surgical modality for various temporomandibular joint (TMJ) disorders. The modified condylotomy consists of an intraoral vertical ramus osteotomy (IVRO), in which the condyle segment is supposed to displace inferiorly. This technique provides more intra-capsular space for a better disc-condyle relationship, hence improves associated symptoms of internal derangement of TMJ. We present a 24-year-old female with mandibular prognathism and bilateral internal derangement of TMJ, Wilkes stage I-II, whose clicking sounds diminish after bilateral intraoral vertical ramus osteotomy. |
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