颞下颌关节强直及其继发畸形的矫治一直是口腔颌面外科的难点之一,其矫治目标包括恢复关节功能、改善外形、重建咬合以及由此引起的一系列心理问题。目前,多种手术如关节成形术、正颌外科手术、牵张成骨、整形美容手术等被用于关节强直及其继发畸形的矫治。然而,如何正确理解并合理运用这些术式,仍困扰着许多临床医师。本文就颞下颌关节强直及其继发畸形矫治的适应证、优缺点以及矫治中的相关问题进行阐述。 The treatment of temporomandibular joint ankylosis and its secondary deformity has been one of the most difficult problems in oral and maxillofacial surgery. Its corrective goals include restoration of joint function, improvement of appearance, reconstruction of occlusion and consequent psychological problems. At present, a variety of operations such as arthroplasty, orthognathic surgery, distraction osteogenesis, cosmetic surgery and so on are used for the treatment of ankylosing spondylitis and secondary deformities. However, how to correctly understand and reasonably use these procedures still plagues many clinicians. This article describes the indications, advantages and disadvantages, and related issues in the treatment of temporomandibular joint ankylosis and its secondary malformations.