颞下颌关节外科学习班及AOCMF高级论坛在沪举行

由中华口腔医学会口腔颌面外科专业委员会主办、上海交通大学医学院附属第九人民医院口腔外科承办的国家级继续教育项目＂颞下颌关节外科学习班＂（项目编号2012-06-08-032）及AOCMF高级关节外科论坛（Advanced Seminar on Joint Surgery）于2012年6月13—17日在上海第九人民医院1号楼8层学术报告厅举办。来自全国各地的150余名学员及6名国际学员参加学习和培训。会议期间，第一届中华口腔医学会口腔颌面外科专业委员会颞下颌关节外科协作组宣告成立。     

第八次全国颞下颌关节病学及学研讨会征文通知

中华口腔医学会颞下颌关节病学及合学专业委员会拟定于2011年4月21日-24日在北京举办第八次全国颞下颌关节病学及合学研讨会暨国家级继续教育项目《颞下颌关节紊乱病及口颌面疼痛的基础与临床进展》学习班,同时将进行专委会换届和关节外科学组、口颌面疼痛学组和学学组成立大会。大会将就本领域的热点问题进行专题讨论,如颞下颌关节     

第八次全国颞下颌关节病学及牙合学研讨会征文通知

中华口腔医学会颞下颌关节病学及合学专业委员会拟定于2011年4月21日-24日在北京举办第八次全国颞下颌关节病学及合学研讨会暨国家级继续教育项目《颞下颌关节紊乱病及口颌面疼痛的基础与临床进展》学习班,同时将进行专委会换届和关节外科学组、口颌面疼痛学组和牙合学学组成立大会。大会将就本领域的热点问题进行专题讨论,如颞下颌关节     

第八次全国颞下颌关节病学及胎学研讨会征文通知

中华口腔医学会颓下颌关节病学及合学专业委员会拟定于2011年4月21日-24日在北京举办第八次全国颞下颌关节病学及合学研讨会暨国家级继续教育项目《颞下颌关节紊乱病及口颌面疼痛的基础与临床进展》学习班,同时将进行专委会换届和关节外科学组、口颌面疼痛学组和胎学学组成立大会。大会将就本领域的热点问题进行专题讨论,     

超声在颞下颌关节功能评价中的应用

颞下颌关节的功能状态关系到口腔颌面外科、正畸科和修复科等的治疗成败,超声作为颞下颌关节功能评价的一种新兴手段,以其无损伤性、经济、有效等特点得到了越来越广泛的应用。下面就超声在颞下颌关节盘位置检查、髁突运动轨迹和颞下颌关节音检测等方面的作用作一综述。     

邱蔚六院士简介

邱蔚六 ,男 ,1 932年 1 0月出生于成都市 ,1 95 5年毕业于原四川医学院。现任上海第二医科大学口腔医学院名誉院长 ,口腔颌面外科教授、主任医师、博士生导师。担任国务院学位委员会口腔医学学科评议组第一召集人 ,中华医学会理事 ,中华口腔医学会副会长兼口腔颌面外科专业委员会主任委员 ,中国抗癌协会头颈肿瘤外科学会主任委员 ;国际口腔颌面外科医师学会理事 ,国际牙医学院院士 ,国际牙科研究会和美国颞下颌关节外科学会会员。邱蔚六教授从事口腔颌面外科工作 4 6年 ,擅长口腔颌面部肿瘤与整复外科。1 9 80年以来招收培养了博士生 30余名…     

手术治疗颞下颌关节强直的临床分析

颞下颌关节强直分为纤维性和骨性强直，手术是其主要治疗手段。本文对1985年-2004年山东大学齐鲁医院口腔颌面外科收治的105例颞下颌关节强直的临床资料进行回顾性分析，旨在总结各种手术方式治疗的临床效果，为颞下颌关节强直的手术治疗提供参考。     

第五次全国颞下颌关节病学及学研讨会暨国家级继续医学教育学习班征文通知

由中华口腔医学会颞下颌关节病学及学专业委员会主办、武汉大学口腔医学院承办的第五次全国颞下颌关节病学及学研讨会暨国家级继续医学教育项目《颞下颌关节病学及学新进展学习班》,拟定于2004年9月19-21日在武汉召开。会议期间,将邀请全国知名专家进行专题讲座及学术讨论。征文范围:颞下颌关节病、口颌面疼痛及学的基础和临床研究。欢迎口腔颌面外科、口腔修复科、口腔正畸科、口腔放射科等相关临床及基础学科医师参会。征文要求:未公开发表论文的中、英文摘要(600字左右)各一份。截稿日期:2004年6月30日。来稿请寄:武汉大学口腔医学院颞下…     

第五次全国颞下颌关节病学及学研讨会暨国家级继续医学教育学习班征文通知

由中华口腔医学会颞下颌关节病学及学专业委员会主办、武汉大学口腔医学院承办的第五次全国颞下颌关节病学及学研讨会暨国家级继续医学教育项目《颞下颌关节病学及学新进展学习班》,拟定于2004年9月19-21日在武汉召开。会议期间,将邀请全国知名专家进行专题讲座及学术讨论。征文范围:颞下颌关节病、口颌面疼痛及学的基础和临床研究。欢迎口腔颌面外科、口腔修复科、口腔正畸科、口腔放射科等相关临床及基础学科医师参会。征文要求:未公开发表论文的中、英文摘要(600字左右)各一份。截稿日期:2004年6月30日。来稿请寄:武汉大学口腔医学院颞下…     

湖北医学院附属口腔医院首次举办颞下颌关节紊乱综合征、颌骨正畸学习班

湖北医学院附属口腔医院于1984年11月13日至18日首次举办颞下颌关节紊乱综合症及颌骨外科正畸学习班。邀请北京医学院口腔系主任、颌面外科主任、颞下颌关节病专家张震康副教授担任主讲,湖医附属口腔医院口腔颌面外科代主任东耀峻参加了讲授。参加听课的除湖北省内和武汉市属医院口腔科代表外,还有中山医学院、江西医学院、河北医学院、郑州口腔医院、昆明医学院、广东省口腔医院、长沙口腔医院、开封口腔医院、襄樊口腔医院等兄弟院系及专科医院的代表共70人。讲课内容包括专科基本理论,临床诊断和治疗,国内外在颞下颌关节紊乱综合症和颌骨外科正畸的最近进展,生动的讲深受各位代表的欢迎。     

Facial nerve function following temporomandibular joint surgery using the preauricular approach.

Sixty-eight patients (83 temporomandibular joints) consecutively operated on who had a variety of temporomandibular joint operations using a preauricular approach were assessed for facial nerve function following surgery. Nine patients (10.84%) showed signs of facial nerve injury in which the temporal and zygomatic branches were involved. The incidence of facial nerve injury was greater in patients who had undergone previous temporomandibular joint surgery (17.64%) than in patients with previously unoperated joints (9%). Normal facial nerve function returned in 9 to 14 weeks except in one patient who showed a mild deficit of the zygomatic branch at 20 weeks. The nature and duration of the surgical procedure did not correlate with facial nerve injury. Scarring of tissues as a result of previous temporomandibular joint surgery may significantly increase the risk of facial nerve injury during subsequent temporomandibular joint surgery.     

兔颞下颌关节盘前移位后关节软骨细胞的凋亡及其意义

目的　观察颞下颌关节盘前移位动物模型的关节软骨细胞凋亡动态改变 ,探讨软骨细胞凋亡的意义。方法　日本大白兔 2 6只 ,实验组 2 0只行手术 ,在不打开颞下颌关节囊的情况下制成关节盘前移位动物模型 ,采用原位末端标记法 (TUNEL)观察术后不同病变时期关节区组织学的改变和软骨细胞凋亡的情况。结果　术后 1～ 2周为髁突软骨细胞凋亡的高峰期 ,集中于功能区的肥大层和增殖层。 4～ 6周进入关节改建期。结论　关节盘前移位后可激活软骨细胞的凋亡机制 ,启动关节软骨的适应性改建     

计算机辅助外科技术在颞下颌关节疾病治疗中的应用

计算机辅助外科技术已经在口腔颌面外科诸领域（如创伤重建、正颌外科、头颈部肿瘤的切除与重建等）得到广泛应用。其在颞下颌关节疾病治疗中的应用近年来也有很大的发展,例如在颞下颌关节强直骨球的截除、髁突骨折的固定及髁突良恶性肿瘤的切除等方面。本文就此部分内容做一综述。     

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??Abstract??Computer-aided surgery??CAS??has been widely used in maxillofacial surgery?? for examples?? in posttraumatic reconstruction?? orthognathic surgery?? resection of head-and-neck tumors and reconstruction. In recent years?? CAS has become more and more popular in the treatment of diseases of temporomandibular joint??like resection of bone fusion in temporomandibular joint ankylosis?? fixation of condyle fractures?? resection of condyle benign or malignant tumors and so on. This article is aimed to present a summary of the applications of the CAS in the treatment of diseases of temporomandibular joint.     

Simultaneous orthognathic and temporomandibular joint surgery: review of selected cases.

The pros and cons of, and treatment considerations for, simultaneous orthognathic and temporomandibular joint surgery are discussed. Several cases of patients treated with simultaneous orthognathic and temporomandibular joint surgery are presented.     

The use of a pedicled temporalis muscle-pericranial flap for replacement of the TMJ disc: preliminary report

Disc replacement in temporomandibular joint surgery has been troublesome. Problems such as migration, fragmentation, foreign body reactions, and unpredictable biodegradation have occurred. Autogenous tissue is presently the material of choice, but requires a second surgical site. In addition, it is a free graft, and thus its fate is unknown. A technique has been developed that uses a pedicled autogenous flap composed of a portion of the temporalis muscle and pericranium to act as an interpositional material in temporomandibular joint surgery. The flap, based on the deep temporal arteries, and pedicled off of the coronoid process, is rotated anterior to the articular eminence and then posteriorly into the temporomandibular joint where it is sutured to the retrodiscal tissue. This procedure allows maintenance of tissue viability and functional movement of the flap during mandibular excursions. The technique offers numerous advantages over the existing autogenous, allogeneic, and alloplastic materials presently used in temporomandibular joint surgery.     

Use of a new arthroscopic joint spreader/stabilizer

Condylar distraction is frequently required in temporomandibular joint surgery to gain access to the articular disk and to medial areas of the condyle, fossa, and eminence. Additionally, the discovery of the clinical importance of addressing the symptomatic lateral impingement phenomenon, a need has arisen for a device to aid the arthroscopic surgeon in spreading the closed joint space and stabilizing the condyle eminence relationship for more effective and safer surgery. The design and use of a new arthroscopic joint spreader/stabilizer are illustrated. This device can also be used for open temporomandibular joint surgery by alternate orientation of the spreader arms.     

The incidence of reoperation after temporomandibular joint arthroscopic surgery: a retrospective study of 450 consecutive joints

PURPOSE: The purpose of this study was to investigate the incidence of reoperation after temporomandibular joint arthroscopic surgery in 315 consecutive patients (488 joints). STUDY DESIGN: The clinical data and operative reports of all patients who underwent arthroscopic procedures from 1995 to 2000 were reviewed retrospectively. Patients had a preoperative clinical and panoramic radiographic evaluation. Most of the patients had disk displacement without reduction. In the remaining patients, the intra-articular pathologic conditions ranged from disk displacement with reduction to degenerative joint disease. The outcome assessment was based on reduction in pain, improvement in vertical dimension of mouth opening, and mandibular excursions. The same surgical team performed all arthroscopic procedures. Before surgery, all patients received at least 3 to 6 months of nonsurgical therapy consisting of anti-inflammatory medications, muscle relaxants, splint therapy, physiotherapy, exercise, moist heat, cold laser, ultrasound, and soft diet or a combination thereof. Patients were monitored postoperatively for as long as 5 years. RESULTS: Results showed that approximately 20% of those patients who had temporomandibular joint arthroscopic surgery underwent further temporomandibular joint procedures ranging from repeat arthroscopic surgery to open-joint arthrotomy. CONCLUSION: Temporomandibular joint surgical arthroscopy is an appropriate therapeutic modality for patients with temporomandibular joint internal derangements, with reoperation required for only 20% of patients.     

Endoscope-assisted reduction of long-standing condylar dislocation

Endoscopy is widely used in the diagnosis and treatment of temporomandibular joint disorders. This paper introduces arthro-endoscopy as a new method of treatment for temporomandibular joint dislocation. As this method is minimally invasive, it is suitable for medically compromised patients who cannot tolerate open surgery.     

The role of a temporalis fascia and muscle flap in temporomandibular joint surgery

Temporalis fascia, with a varying thickness of temporalis muscle, may be harvested as an axial flap based on the middle and deep temporal arteries and veins. The dependable blood supply, the proximity to the temporomandibular joint, and the ability to alter the arc of rotation by basing the flap inferiorly or posteriorly make this a versatile flap for lining the temporomandibular joint. In this report, the anatomy is reviewed, the harvesting technique is described, and multiple uses of the temporalis muscle-fascia flap in temporomandibular joint surgery are described.