颞颌关节强直合并小颏畸形的一期整形治疗

目的探讨颞颌关节强直合并小颏畸形一期整形治疗的理想方法。方法利用自体阔筋膜张肌进行假关节成形,并同期采用下颌颏部水平截骨前徙治疗小颏畸形。结果 2003年3月至2008年3月,我们共治疗11例患者,术后进行关节松动训练,张口功能与面部的外部形态恢复良好。随访6～12个月,张口功能良好,能够正常咀嚼。有9例患者张口度在2横指以上,外形恢复满意。结论采用本方法,一期手术治疗颞颌关节强直合并小颏畸形,是解决患者张口功能与面部外形的较为理想的方法。

One Stage Operation for Temporomandibular Joint Ankylosis with Microgenia

Objective To explore the ideal one-stage method in the treatment of temporomandibular joint（TMJ） ankylosis complicated with microgenia.Methods One stage operation surgery is performed to treat TMJ ankylosis complicated with chin deformity.Pseudo-arthro-plasty is performed with autogenous tensor fascia lata muscle and with horizontal osteotomy forward in mandible chin area for microgenia.Results From March 2003 to March 2008,11 cases were treated.For all the patients,one stage TMJ and chin plastic methods were used to restore joint function and repair external shape of the face.Exercise of joint flexibility was done after operation.Patients were followed for 6-12 months.Oral function is restored and patients can chew normally.For 9 cases,the opening of the mouth is above 2 fingers with satisfactory external shape.Conclusion One stage operation is an ideal therapy to treat TMJ ankylosis complicated with microgenia.It can restore the oral function and external shape.