颞颌关节强直是一种较常见的关节疾病,大部分病人发生于幼年时期,常由于外伤感染或关节炎等原因所致。颞颌关节强直后病人不能张口,饮食困难,言语不便,且累及下颌骨的正常发育,导致面部骨骼发育畸形。过去国内外文献上都提出应用外科手术切除强直关节,并在此创口间隙中,填塞自体组织如脂肪、筋膜、软骨、肌肉等,但手术效果很不理想,容易导致强直复发,复发率平均在50％以上。近年来为了提高手术效果减少复发率,许多作者尝试应用金属假关节或硅橡胶关节帽状填塞等,效果亦不理想。我科于1982年始,基于应用带血管的 Temporomandibular joint ankylosis is a more common joint disease, most patients occurred in infancy, often due to traumatic infection or arthritis and other causes. Temporomandibular joint ankylosis patients can not mouth, difficulty eating, speech inconvenience, and involving the normal development of the mandible, resulting in facial bone deformity. In the past literature both at home and abroad have proposed the surgical removal of ankylosing spondylitis, and in this wound gap filling of autologous tissues such as fat, fascia, cartilage, muscle, but the effect is not ideal, easily lead to atrophy, the average recurrence rate Above 50%. In recent years, in order to improve the effect of surgery to reduce the recurrence rate, many authors try to use metal false joint or silicone rubber joint cap packing, the effect is not satisfactory. My department began in 1982, based on the application of vascular