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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 129 - 134 (6page)
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초록· 키워드
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Objectives: The objective of this study was to highlight the role of lateral arthroplasty along with interposition of the buccal fat pad (BFP) in the management of Sawhney type III temporomandibular joint (TMJ) ankylosis. Materials and Methods: Ten patients with TMJ ankylosis (7 unilateral and 3 bilateral, total of 13 joints) were treated with lateral arthroplasty and BFP interposition. The bony bridge of the ankylotic mass on the lateral aspect was resected, leaving a distance of 1.5 to 2.0 cm from the base of the skull to the neck of the condyle. The condyle was left intact. Coronoidectomy was performed on the ipsilateral side via the same approach in all cases. The inter-incisal opening was measured at that time, and if it was less than 35 mm, contralateral coronoidectomy was performed by using the intra-oral approach. After satisfactory inter-incisal mouth opening (≥35 mm) was achieved, the TMJ surgical site was revisited, and BFP was retrieved and used to cover the lateral aspect of the medially placed condyle. Results: With lateral arthroplasty, the medially displaced condyle can be left in-situ to maintain the mandibular ramal height and function and to act as a growth center in children. Interposition of the BFP prevents reformation of the lateral bony bridge that was removed. Conclusion: Lateral arthroplasty along with interpositioning of the BFP is a novel technique for managing Sawhney type III ankylosis that achieves management goals while avoiding complex and advanced reconstructive surgical procedures.
목차
등록된 정보가 없습니다.
참고문헌 (27)
참고문헌 신청
Sawhney CP / 1986 / Bony ankylosis of the temporomandibular joint : follow-up of 70 patients treated with arthroplasty and acrylic spacer interposition / Plast Reconstr Surg 77:29~40
Nitzan DW / 1998 / Surgical management of temporomandibular joint ankylosis type III by retaining the displaced condyle and disc / J Oral Maxillofac Surg 56:1133~1138
Loveless TP / 2010 / Efficacy of temporomandibular joint ankylosis surgical treatment / J Oral Maxillofac Surg 68:1276~1282
Mehrotra D / 2011 / Complications associated with different surgical modalities for management of temporomandibular ankylosis in a series of 791 cases / Asian J Oral Maxillofac Surg 23:122~127
Zhi K / 2009 / Management of temporomandibular joint ankylosis : 11 years' clinical experience / Oral Surg Oral Med Oral Pathol Oral Radiol Endod 108:687~692
Nitzan DW / 1998 / Surgical management of temporomandibular joint ankylosis type III by retaining the displaced condyle and disc / J Oral Maxillofac Surg 56:1133~1138
Loveless TP / 2010 / Efficacy of temporomandibular joint ankylosis surgical treatment / J Oral Maxillofac Surg 68:1276~1282
Mehrotra D / 2011 / Complications associated with different surgical modalities for management of temporomandibular ankylosis in a series of 791 cases / Asian J Oral Maxillofac Surg 23:122~127
Zhi K / 2009 / Management of temporomandibular joint ankylosis : 11 years' clinical experience / Oral Surg Oral Med Oral Pathol Oral Radiol Endod 108:687~692
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