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颞下颌关节强直是口腔颌面部一类严重的疾病,其临床分型主要依据颞下颌关节骨性融合情况及其周围附属结构受累情况而定。临床针对颞下颌关节强直的治疗主要以手术为主,术后加以功能训练。外科手术治疗颞下颌关节强直的主要途径可以概括为以下三方面:解除关节强直的解剖因素;恢复或重建关节基本结构;对继发畸形的治疗。目前针对以上三方面的多种治疗手段各有利弊,本文将对近年来常用的手术治疗方法予以分类介绍。
The temporomandibular joint ankylosis is a serious type of oral and maxillofacial disease, and its clinical classification is mainly based on the temporomandibular joint bony fusion and the surrounding ancillary structures involved. Clinical treatment of temporomandibular joint ankylosis mainly surgery, postoperative functional training. Surgical treatment of temporomandibular joint ankylosis of the main ways can be summarized as the following three aspects: to lift the anatomy of ankylosing spondylitis; restoration or reconstruction of the basic structure of the joint; the treatment of secondary deformities. At present, there are advantages and disadvantages for various means of treatment in the above three aspects. This article will introduce the commonly used surgical treatment methods in recent years.