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牵张成骨延长一侧下颌骨对颞下颌关节的影响
引用本文:李继华,邹淑娟,胡静,王大章,唐正龙.牵张成骨延长一侧下颌骨对颞下颌关节的影响[J].实用口腔医学杂志,2002,18(5):438-440.
作者姓名:李继华  邹淑娟  胡静  王大章  唐正龙
作者单位:成都四川大学华西口腔医学院,610041
基金项目:国家自然科学基金资助 (项目批准号:39970 797)
摘    要:目的:研究牵张成骨(DO)延长一侧下颌骨对双侧颞下颌关节(TMJ)的影响。方法:用DO技术将8只山羊的一侧下颌骨延长10mm,在牵张完成后第8和16周分别处死4只动物,取双侧关节作组织学和扫描电镜研究。结果:下颌一侧DO术后双侧髁状突发生适应性改建,髁突表面超微结构正常。结论:在适当的牵张条件下延长一侧下颌骨不会对TMJ造成病理性损害。

关 键 词:牵张成骨延长  颞下颌关节  下颌延长  颞下颌关节功能障碍
文章编号:1001-3733(2002)-05-0438-03
修稿时间:2001年3月29日

Changes in the temporomandibular joint after unilateral mandibular distraction osteogenesis
Li Jihua,Zou Shujuan,Hu Jing,et al..Changes in the temporomandibular joint after unilateral mandibular distraction osteogenesis[J].Journal of Practical Stomatology,2002,18(5):438-440.
Authors:Li Jihua  Zou Shujuan  Hu Jing  
Affiliation:Li Jihua,Zou Shujuan,Hu Jing,et al. West China College of Stomatology,Sichuan University,Chengdu 610041
Abstract:objective: To observe the changes in the bilateral condyles after unilateral mandibular lengthening with distraction osteogenesis. Methods: Unilateral mandibular osteodistraction (DO) was performed in 8 goats. 4 animals were sacrificed at 8 and 16 weeks after completion of distraction respectively. The TMJ specimens were harvested and processed for histologic, histomorphometric and scanning electron microscopic (SEM) examinations. Results: Reversible adaptive remodeling in the condyles was observed following mandibular distraction at a rate of 1 mm/d. No degenerative changes in the TMJs were found after mandibular lengthening. Conclusion: Gradual distraction at a rate of 1 mm/day may not lead to degenerative change in condylar cartilage.
Keywords:Distraction osteogenesis  Temporomandibular joint  Mandibular lengthening
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