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目的本文通过对单侧颞下颌关节强直继发颌骨畸形患者的临床资料进行回顾性分析,观察对此类疾病采取外科-正畸综合治疗的效果。方法对2000年1月至2012年6月期间四川大学华西口腔医院收治的32例成人单侧颞下颌关节强直继发颌骨畸形患者采用外科-正畸联合治疗并进行随访,通过开口度,咬合功能恢复、影像学检查和术前术后面形变化的对比评价其临床疗效。结果经过至少12个月的观察随访,患者的咬合功能和颌骨畸形均得到明显的改善,未发现颞下颌关节强直复发的病例。结论对此类疾病采用关节外科-正畸-正颌联合治疗,不仅恢复了患者的关节功能,而且显著改善了患者的面部外形与咬合状态。
OBJECTIVE: To retrospectively analyze the clinical data of patients with mandibular ankylosis with unilateral temporomandibular joint ankylosis, and to observe the effect of combined surgical-orthodontic treatment on such diseases. Methods From January 2000 to June 2012, 32 adult patients with ankylosing spondylitis with mandibular ankylosis underwent mastectomy and orthodontic treatment in the Huaxi Stomatology Hospital of Sichuan University and followed up. Functional recovery, imaging examination and preoperative and postoperative changes in the shape of contrast assessment of its clinical efficacy. Results After at least 12 months of follow-up, the bite function and jaw deformity were significantly improved. No cases of temporomandibular joint ankylosis recurrence were found. Conclusion The use of joint surgery - orthodontics - orthognathic surgery for these diseases not only restored the patient’s joint function, but also significantly improved the patient’s facial appearance and occlusion status.