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评估经过关节椎间盘重新定位或不定位的整形外科手术后状头部的变化:一个系统性审查

Luís Eduardo Charles Pagotto¹, Everton Freitas de Morais², Thiago de Santana Santos³

¹Instituto de Ensino e Pesquisa do Hospital Sírio-Libanês (IEP), São Paulo (SP), Brazil.

The British journal of oral & maxillofacial surgery

|March 23, 2024

概括

当与关节 (TMJ) 盘重新定位相结合时,在患有先前存在的TMJ骨关节炎的患者中,整形手术的结果会得到改善. 手术后状体重塑取决于位移方向和患者年龄.

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.
关节疾病关节疾病

背景情况:

整形手术的失败可能源于未被诊断的关节 (TMJ) 疾病.
对患者的治疗结果至关重要的是评估状头部在经过orthognathic手术后的改变.

研究的目的:

系统地审查在骨架手术后状头部的潜在变化.
评估同时进行的TMJ干预对手术结果的影响.

主要方法:

对随机对照试验和回顾性研究进行系统的文献搜索.
基于PICO框架的纳入标准:患有骨架性形和关节功能障碍/骨关节炎的患者,接受了带有或没有关节断裂的手术.
对9项选定的研究进行了定性分析.

主要成果:

同时的关节盘重新定位与整形手术在患有手术前状骨关节炎变化的患者中产生了卓越的结果.
状体重塑 (再吸收/沉积) 受到状体在手术期间移位的方向的影响.

结论:

脊椎外科手术后状体重塑的程度取决于手术位移.
患者的年龄是另一个与状腺再吸收发展相关的重要因素.

关键词:

在口腔外科手术中.预测预测预测预测的时间.治疗方法治疗方法

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