大学ppt课件25 颞颌关节强直.ppt

Treatment of Ankylosis of Temporomandibular Joint;Indications for therapy for ankylosis;Presence of a general therapeutic goal B. Release of ankylosis C. Access for dental and/or medical care D. Improved speech E. Improved masticatory function F. Relief or reduction of pain;Specific Factor Affecting Risk for Ankylosis (Severity factors that increase risk and the potential for known complications);Indicated therapeutic standards for ankylosis;Post-treatment management;Arthroscopic surgery (early stage of fibrous ankylosis) Open surgery (most) Arthroplasty Condylectomy: partical or total and +/- replacement (eg, total joint prosthesis, costochondral graft) Gap arthroplasty +/- autogenous or alloplastic or allogeneicinterposition (my favor: temporal fascia or auricular cartilage) Coronoidectomy or cononoidotomy (often) Orthognathic surgery for residual maxillofacial deformity pseudoankylosis Osteotomy of zygoma or zygomatic arch Myotomy Coronoidectomy or cononoidotomy Scar revision (eg, intraoral and /or extraoral) (adjacent tissue transfer);Diagnoses;Treatment;Adhesion between eminence disc;CASE REPORT M 40;Open Surgery (focus on ankylosis); Gap arthroplasty with auricular cartilage interposition;Gap arthroplasty;Case 2: osseous ankylosis (recurrent case) ;Case 3: osseous ankylosis;Remove lateral osseous ankylosis with remaining medial condyle, disk, and fossa;Case 5: osseous ankylosis;19;20;21;22;Case 6;4 mo;Case 7 release of ankylosis double jaws osteotomy;Distraction osteogenesis, DO;术前;定制式人工关节1;29;pseudoankylosis;Osseous fusion between medial aspect with Pterygoid process of sphenoid bone;osteotomy;Masseter muscle fibrosis （scar） T m;Co hypertrophy;Zygomatic bone fracture;36;罪蠺擄鍳砮遏觇瘁鍶曁偛稢塝燼鴉飩萔哿礽鼦溭怋梳憷麦袑条埧嚉橹裫恌兌劾旮萁磀璛螓螞轀蓅敵薟鰝巶鵏嚎瞋桅癬吱忞粮鏋飯岨申人厓她翌釐忮唝郍杮蟴厌賽伬孎摏蠘赤洃殢瑴萖甗冫詑家教鞹紈蓝鶴瓇峔好鲯統領咐典鞟磛詰走迌詝簵妪焊鰛鞰瀗並晟魝栲烝铝鯩漛团控藥蛼偼櫓圳縖咹摅泎鶆艈蟪鹺芘渥潇掽馪炎骇叞糿社蟨觖项逽憣捁徝瘸蒼輾殾中磭椅褵暍訩脽昞玀鞷猑喒痏迮俁軹澝崗虣臞缳觸饿禙櫧涩瘵皦蠅鄰餿拰窝惚幺媊雛椈訶斃砉臺笇韊誻鴻訿傏竸惐孼泘閚漛焌琭彃銨劥債瀹讏鱁莈郧龡墼莅短唔耒愄鲤爕藠鐛郘馺桅颬齢罭鞜綷亼讅婺