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A Postoperative Evaluation Guideline for Computer-Assisted Reconstruction of the Mandible
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在下逆转手术后,关节盘的位置是否会发生变化?

Nathakarn Thamwatharsaree1, Wannakamon Panyarak2, Kittichai Wantanajittikul3

  • 1Graduate Student, Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Chiang Mai University, Chiang Mai, Thailand.

Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons
|November 22, 2023
PubMed
概括

逆转双侧斜裂骨架骨切除手术 (BSSO) 改善了关节椎间盘位置在患有下预产症的患者. 大多数前盘位移与减少的病例正常化,而没有减少的病例显示了手术后的改善.

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科学领域:

  • 口腔和牙面部外科手术
  • 矯正牙科 矯正牙科是一種矯正牙科.
  • 放射学 放射学是一门学科.

背景情况:

  • 在双边斜裂骨架骨切除术 (BSSO) 后保持状骨位对于预防复发至关重要.
  • BSSO对关节 (TMJ) 关节盘位置的影响需要进一步研究.

研究的目的:

  • 为了评估在BSSO手术后关节盘位置的变化.
  • 分析BSSO对TMJ盘位移的长期影响.

主要方法:

  • 对16名下预产症患者进行前性队列研究,这些患者正在经历BSSO的挫折.
  • 关节盘位置通过MRI在3个时间点评估:手术前,手术后3个月,手术后6个月.
  • 使用弗里德曼测试和Dunn-Bonferroni后期测试进行统计分析.

主要成果:

  • 随着时间的推移,观察到关节盘位置的显著变化 (P < .001).
  • 在手术后,正常盘位的比例从9.4%增加到59.4%.
  • 许多减少前盘位移 (ADDwR) 的病例正常化,而前盘位移没有减少 (ADDwoR) 的病例显示改善了磁盘缩小.

结论:

  • 逆转BSSO手术对下前代症患者的关节盘位置产生积极影响.
  • 这种程序似乎有助于盘子的重新定位和缩小,即使是在ADDwoR的情况下.
  • 结合 ортодонтической治疗和BSSO可以改善TMJ盘动力学在III类骨患者.