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| 題 名 | 應用冠狀切開術施行兩側人工髁頭置換術--病例報告=Application of Coronal Approach in Replacement of Bilateral TMJ with Artificial Joint: A Case Report |
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| 作 者 | 卓成吉; 高壽延; 張哲壽; | 書刊名 | 中華民國口腔顎面外科學會雜誌 |
| 卷 期 | 7:2 1996.09[民85.09] |
| 頁 次 | 頁108-119 |
| 分類號 | 416.92 |
| 關鍵詞 | 人工顳顎關節置換術; 冠狀切開術; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 關於退化性顳顎關節疾病的治療,主要治療方式有下列四項:(1)物理治 療:(2)藥物治療;(3)關節內沖洗及藥物注射;(4)關節鏡手術或關節切開手術。嚴重的 退化性或吸收性關節疾病經過保守性的治療後,若病人仍有極度的功能障礙,則 可考慮關節切除或人工關節置換。而人工顳顎關節的置換,除了可用於修復失去 關節,亦可用於不良咬合或顏面部不良外形的病患。但人工顳顎關節並不適用於 成長中的病患,或感染的關節,或手術癒合過程會有不良過敏反應者,對於這類 病患則可考量使用肋骨或帶血管之骨移植以取代原有之關節。 對於人工顳顎關節置換所採取的手術切除,常為耳前切線或加上下顎後切線。對 於兩側同時手術及翻取顳肌筋膜置換關節盤,冠狀切開術提供良好的手術視野。 本文報告一僵直性脊椎炎造成全身多處關節黏連,包括兩側顳顎關節黏連的病 例,應用冠狀切開術施行兩人工顎關節置換術,獲致令人滿意的結果。 |
| 英文摘要 | The treatment of degenerative TMJ disease has the fallowing methods: (1)physical therapy, (2) medical theraphy, (3) joint lavage and medicine injection, (4)arthroscopic surgery or opened joing surgery. If patient still has severlyfunctional impairment after conservetive treatment of degeererative or resorptivejoint diseases, the arthrectomy or artificial joint replacment could be considered.The artificial joint replacement could be applicated in restoration of destructivejoint, malocclusion and facial deformity. The use of teh artificial joint is notrecommended in growing patient, infections, or allergies that might interfere withthe healing process. For these patients, joint reconstruction using costochodralgrafts or microvascular free bone grafts are indicated. The traditional incisions for artifical TMJ replacement are preauricularincision and retromandibular incision. The coronal approach provides wideexposure of surgical field when approaching the bilateral joints and developing thetemporalis fascial flap for disc replacement, a case of ankylosing spondylitis withmultiple joints ankylosis utilizing coronal approach in replacement of bilateral TMJwas reported. |
本系統中英文摘要資訊取自各篇刊載內容。