《Journal of Oral and Maxillofacial Surgery》 ›› 2013, Vol. 23 ›› Issue (2): 79-84. doi: 10.3969/j.issn.1005-4979.2013.02.001

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Surgical Management of Temporomandibular Joint Disease

LONG Xing   

  1. Department of Oral and Maxillofacial Surgery, School and Hospital of Stomatology,
    Wuhan University, Wuhan 430079, Hubei Province, China
  • Online:2013-04-28 Published:2013-07-03

颞下颌关节疾病的外科治疗 

龙星   

  1. 武汉大学口腔医学院口腔颌面外科,湖北 武汉 430079
  • 通讯作者: 龙星,教授. E-mail:longxing_china@hotmail.com
  • 作者简介:龙星(1957—),男,武汉人,教授,主任医师.博士.
  • 基金资助:

    国家自然科学基金资助项目 (30840031,30970726)

Abstract: A variety of disorders affect temporomandibular joint (TMJ) including temporomandibular disorders (TMD), trauma, dislocations, ankylosis, congenital and growth abnormalities, infections and tumors. Temporomandibular joint diseases should be managed by  conservative treatment and/or surgical treatment. Achievements in basic research has led to an improved understanding of the etiology and pathogenesis of TMJ disease,which, in turn, has provided critical support for the role of the management of TMJ disease. Controversies still exist. Through the further understanding of TMJ pathology, modified diagnostic imaging, TMJ arthroscopy and sophisticated surgical techniques, the more reliable and practical of TMJ surgery has been enhanced.

Key words: temporomandibular joint disease, surgical treatment, development

摘要:  颞下颌关节疾病(temporomandibular joint disease,TMD)包括颞下颌关节紊乱病、颞下颌关节损伤、颞下颌关节脱位、颞下颌关节强直、先天性或后天性畸形、炎性疾病以及肿瘤等,治疗方法有保守治疗和外科治疗。基础研究有助于了解颞下颌关节疾病的致病机理,并为颞下颌关节疾病的治疗提供理论依据。虽然颞下颌关节疾病的治疗多年来存在争议,但随着对颞下颌关节疾病了解的加深,以及影像学的发展、关节镜和手术方法的改进, 颞下颌关节疾病的外科治疗有了明显进步。本文对颞下颌关节紊乱病、颞下颌关节脱位、髁突骨折、颞下颌关节强直、先天性或后天性畸形以及肿瘤等颞下颌关节疾病的外科治疗现况及进展进行了阐述。

关键词:  , 颞下颌关节疾病;外科治疗;进展

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