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报告我科1980～1989年颞颌关节强直手术14例。术式包括髁突切除、裂隙式关节成形,嵌入式关节成形,带肋软骨肋骨移植,喙突移植等。切口进路,本组目前入路不直接从腮腺而是从腮腺后缘进入关节区,颌下入路则从腮腺后下极将腮腺连同升支浅面的嚼肌一同掀起,避免损伤腮腺及面神经,操作简便。为预防复发,恢复功能,本组重建手术特别注重颞下颌关节的解剖形态,尽量改建成一个比较符合正常解剖及生理功能的关节结构。
Report our department from 1980 to 1989, temporomandibular joint ankylosis surgery in 14 cases. Surgery including condylar resection, fissured joint, embedded arthroplasty, ribbed rib cage transplantation, coracoid transplantation. Incision approach, the current group of patients not directly from the parotid gland but from the trailing edge into the joint area, submandibular approach from the parotid gland after the parotid gland along with the ascending face of the chewing muscle with off to avoid damage to the parotid gland and Facial nerve, easy to operate. In order to prevent recurrence and recovery, this group of reconstructive surgery with special attention to the anatomy of the temporomandibular joint, as far as possible converted into a more in line with normal anatomy and physiological function of the joint structure.