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tmj强直
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  tmj ankylosis
     In meanwhile,different techniques in surgical management were discussed for posttraumatic TMJ ankylosis in the varied stages according to the classification by Sawhney(1986).
     按照Sawhney(1986)提出的TMJ强直分类,采用不同技术进行分类治疗,并做疗效评估。
     Objective 30 cases of TMJ ankylosis with OSAS, unilateral ankylosis in 18, bilateral ankylosis in 9 and all with micrognathia.
     目的  30例 TMJ强直伴阻塞性睡眠呼吸暂停综合征 (OSAS)患者 ,单侧 TMJ强直 18例 ,双侧强直 9例 ,TMJ强直术后 3例。
短句来源
     Methods:Eleven patients (15 sides of TMJ ) of TMJ ankylosis accompanying with mandibular micrognathia and OSAS were treated with distraction osteogenesis.
     方法 :应用内置式颌骨牵引成骨 ,治疗 11例 (15侧 )TMJ强直伴小颌畸形及OSAS患者。 患者年龄 9~ 42岁。
短句来源
     Conclusion:Unilateral TMJ ankylosis accompanying with micrognathia and OSAHS can be treated effectively by distraction osteogenesis simultaneously.
     结论:同期的牵引成骨治疗可有效矫治成人单侧TMJ强直伴小颌畸形及OSAHS。
短句来源
     Four patients were bilateral TMJ ankylosis and 7 patients were unilateral TMJ ankylosis.
     4例为双侧颞下颌关节强直伴重度小颌畸形 ,7例为单侧TMJ强直伴小颌畸形。
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  “tmj强直”译为未确定词的双语例句
     The primarily study on the correlationship between the cephalometric characteristics and the results of ploysomnography
     TMJ强直患者头影测量与阻塞性睡眠呼吸暂停综合征关系的初步分析
短句来源
     Application of Distraction Osteogenesis in Treatment of Mandibular Micrognathia Accompanying with Obstructive Sleep Apnea Syndrome
     骨牵引技术治疗TMJ强直小下颌畸形伴阻塞性睡眠呼吸暂停低通气综合征
短句来源
     THE EXPERIMENTAL STUDY ON SURGICAL TREATMENT OF TEMPOROMANDIBULAR JOINT ANKYLOSIS USING FREE ALLOGENEIC COSTAL PERICHONDRIAL GRAFTS IN RABBITS
     同种异体肋软骨膜游离移植治疗TMJ强直的实验研究
     A key moment at the 4~(th)to 5~(th)posttaumatically,persistentrestriction of mouth opening,less than 18mm in the range of mouth opening,and disc displacement in MRI will constitute a diagnosis of early TMJankylosis.
     两种类型骨折继发强直的起始部位不同,关节盘移位是强直形成的重要因素。 伤后近半年(4-5个月)出现持续张口受限、张口度小于18mm,且经MRI 证实关节盘移位,可视为早期TMJ 强直。
  相似匹配句对
     THE EXPERIMENTAL STUDY ON SURGICAL TREATMENT OF TEMPOROMANDIBULAR JOINT ANKYLOSIS USING FREE ALLOGENEIC COSTAL PERICHONDRIAL GRAFTS IN RABBITS
     同种异体肋软骨膜游离移植治疗TMJ强直的实验研究
     OBJECTIVE:To evaluate the effects of childhood longitudinal fracture of the mandibular condyle on secondary ankylosis of TMJ.
     目的:探讨幼年期髁状突纵行骨折对TMJ继发性强直的影响。
短句来源
     A.N. Goss:Toward an international consensus on temporomandibular joint surgery
     TMJ手术的国际共识
短句来源
     c)rigid and clonic spasm;
     强直一阵挛性抽搐 ;
短句来源
     The Connection of Reinforcement Uniform Strength Straight Screw-threads
     钢筋等强直螺纹连接
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  tmj ankylosis
However, in long-standing cases, growth anomalies from TMJ ankylosis may occur.
      
In the discussed case, the first symptoms of TMJ ankylosis were found only 6 months after birth without detecting any causes.
      
No publication up to the present time has been concerned with the longitudinal observation of a growing child with TMJ ankylosis.
      
The wide range of manifestations exceed the typical picture of TMJ ankylosis and resemble a syndrome rather than an isolated defect of the TMJ.
      
The clinical picture of congenital TMJ ankylosis found in the literature is so typical that it should not be confused with other disorders.
      


Objective 30 cases of TMJ ankylosis with OSAS, unilateral ankylosis in 18, bilateral ankylosis in 9 and all with micrognathia. All patients have severe retrognathia with slight maxillary retrognathia, and their apnea index (AI) was higher than 5 as well as with oxygen hyposaturation during sleep. Methods All patients were examinated and evaluated by cephalometric analysis and polysomnography. By means of cephalometric analysis and computeraid operative simulation, the best surgical proposal were gained. Results...

Objective 30 cases of TMJ ankylosis with OSAS, unilateral ankylosis in 18, bilateral ankylosis in 9 and all with micrognathia. All patients have severe retrognathia with slight maxillary retrognathia, and their apnea index (AI) was higher than 5 as well as with oxygen hyposaturation during sleep. Methods All patients were examinated and evaluated by cephalometric analysis and polysomnography. By means of cephalometric analysis and computeraid operative simulation, the best surgical proposal were gained. Results 15 cases were treated by TMJ reconstruction、 Jaw advancement by transplanted with bone graft and ramus sagital osteotomy, and genioplasty, 3 of the cases treated secondarily by Le fort I osteotomy. 6 cases underwent bilateral TMJ reconstruction, bone graft and genioplasty in order to advance the jaw. Bimaxillary surgical procedure was completed in 3 cases, and distraction osteogensis (DO) and TMJ reconstruction in 6 cases. Al patients gained good appearance, 29 patients can open their mouth larger than 3 cm, and one case had recurrent TMJ ankylosis. 29 cases'AI<5 and oxygen saturation degree >90% (included the patient that had recurrent TMJ ankylosis). One patient's AI>5, his OSAS was not relieved. Conclusion In treatment of the patients that have TMJ ankylosis with OSAS, the relief of TMJ ankylosis、rehabilitation of the maxillofacial deformities and OSAS must be all considered. It is useful to the patients of TMJ ankylosis with OSAS that surgical procedure of TMJ reconstruction and DO combining with orthognathic surgical procedure.

目的  30例 TMJ强直伴阻塞性睡眠呼吸暂停综合征 (OSAS)患者 ,单侧 TMJ强直 18例 ,双侧强直 9例 ,TMJ强直术后 3例。患者均有严重的小下颌畸形并伴轻度的上颌后缩畸形 ,睡眠呼吸暂停指数 AI>5 ,且睡眠时血氧饱和度都有不同程度的降低。方法 应用术前后临床检查、头影测量分析和夜间多导睡眠检测筛选患者和评价治疗效果。采用电脑辅助的诊断和手术模拟及预测系统 ,获得充分扩展口咽和纠正颌面畸形的最佳手术方案 ,以 TMJ重建、牵引成骨和正颌外科方法治疗患者。结果 本研究有 15例患者接受患侧下颌升支倒置 TMJ重建、植骨前移 ,健侧升支矢状劈开、下颌前移和颏前移成形术 ;其中有 3例行二期的上颌的 L e Fort 截骨术。 6例行双侧 TMJ重建、植骨前移下颌和颏成形术。 3例施行同期双颌截骨前移和颏成形术 ;6例行单或双侧 TMJ重建、牵引成骨术。全部病例创口均正常愈合 ,无一例感染。术后复查 (平均 5 .2 5年 ,最短 1年 ,最长 8年 ) :1例术后 TMJ强直复发 ,余张口度均在 3cm以上 ;术后颌面形态获得明显改善 ;2 9例...

目的  30例 TMJ强直伴阻塞性睡眠呼吸暂停综合征 (OSAS)患者 ,单侧 TMJ强直 18例 ,双侧强直 9例 ,TMJ强直术后 3例。患者均有严重的小下颌畸形并伴轻度的上颌后缩畸形 ,睡眠呼吸暂停指数 AI>5 ,且睡眠时血氧饱和度都有不同程度的降低。方法 应用术前后临床检查、头影测量分析和夜间多导睡眠检测筛选患者和评价治疗效果。采用电脑辅助的诊断和手术模拟及预测系统 ,获得充分扩展口咽和纠正颌面畸形的最佳手术方案 ,以 TMJ重建、牵引成骨和正颌外科方法治疗患者。结果 本研究有 15例患者接受患侧下颌升支倒置 TMJ重建、植骨前移 ,健侧升支矢状劈开、下颌前移和颏前移成形术 ;其中有 3例行二期的上颌的 L e Fort 截骨术。 6例行双侧 TMJ重建、植骨前移下颌和颏成形术。 3例施行同期双颌截骨前移和颏成形术 ;6例行单或双侧 TMJ重建、牵引成骨术。全部病例创口均正常愈合 ,无一例感染。术后复查 (平均 5 .2 5年 ,最短 1年 ,最长 8年 ) :1例术后 TMJ强直复发 ,余张口度均在 3cm以上 ;术后颌面形态获得明显改善 ;2 9例患者眠眠呼吸障碍解除和睡眠质量获得提高 ;1例 AI>5 ,睡眠呼吸障碍改善不明显。结论  TMJ强直继发 OSAS的治疗既要兼顾关节强直的解除 ,又要矫正牙颌面畸形 ,更不容忽视睡眠呼吸障碍的治疗 ;

Objective To evaluate the effect of distraction osteogenesis in correction of mandibular micrognathia accompanying obstructive sleep apnea syndrome (OSAS). Methods A total of 15 patients, aged 9 to 43 years, 11 males and 4 females, were treated. 7 patients suffered from bilateral ankylosis of temporo manclibular joint inducing severe mandibular micrognathia and accompanying severe OSAS. 3 cases suffered from unilateral TMJ ankylosis with OSAS. 3 patients suffered from congenital developmental micrognathia...

Objective To evaluate the effect of distraction osteogenesis in correction of mandibular micrognathia accompanying obstructive sleep apnea syndrome (OSAS). Methods A total of 15 patients, aged 9 to 43 years, 11 males and 4 females, were treated. 7 patients suffered from bilateral ankylosis of temporo manclibular joint inducing severe mandibular micrognathia and accompanying severe OSAS. 3 cases suffered from unilateral TMJ ankylosis with OSAS. 3 patients suffered from congenital developmental micrognathia with OSAS. 2 cases were caused by trauma. Among the 15 patients, 12 were treated by synchronous bilateral mandibular distraction, 3 patients were distracted unilaterally. Every patient had been evaluated pre and postoperatively with cephalometry and polysomnography. Results The minimum distance of distraction was 9 mm, the maximum was 30 mm, with a mean of 20.4 mm, in mandible of 15 patients with 27 sides. The distraction process was smooth in all the cases. The osteogenesis was good, without infection and other complications. Complete curative effect was achieved in 4 severe, 3 moderate, and 4 mild cases. The posterior airway space was increased from averaged 4.5 mm preoperatively to 12.4 mm. The increase of SNB angle was from preoperative 66° to 75° on average postoperatively. The vast majority of the patients had their subjective symptoms alleviated gradually or disappeared completely. The results were stable without relapse during a follow up period of 12 months. Conclusion The distraction osteogenesis can not only be used to effectively correct severe mandibular micrognathia deformity, but also can cure its accompanying OSAS. The procedure is simple, with low risk, high curative rate, low relapse rate, and stable result. Up to now, it is the most effective method in the treatment of this difficult and complicated kind of disorder.

目的 探讨颌骨牵引成骨技术在矫治小下颌畸形伴阻塞性睡眠呼吸暂停综合征(OSAS)中的应用价值。方法  15例患者其中 7例系双侧颞下颌关节 (TMJ)强直致重度小下颌畸形伴重度OSAS ,3例系单侧TMJ强直伴OSAS ,5例为先天发育性或外伤导致的小下颌畸形伴OSAS。双侧牵引 12例 ,单侧牵引 3例。每例患者术前术后均行X线头影测量及睡眠多导图仪检查。结果  15例2 7侧下颌骨最小牵引距离 9mm ,最大 30mm ,平均 2 0 .4mm ,所有病例牵引过程顺利 ,牵引区成骨良好 ,无感染及其他并发症发生。其中术前重度 5例 ,中度 2例 ,轻度 4例均治愈。 4例术前重度术后变为轻度。后气道间隙由治疗前的平均 4.5mm ,增加到 12 .4mm。SNB角 (蝶鞍点与鼻根点、下颌槽座点三角之间形成的角 )由术前平均 6 6度增加到术后的 75度。患者在牵引过程中自觉症状逐渐减轻或消失。平均随访 12个月 ,效果稳定 ,未见复发。结论 颌骨牵引成骨技术不仅可有效矫治小下颌畸形而且可治疗其伴发的OSAS ,且方法简单 ,风险小 ,治愈率高 ,复发率低 ,效果稳定 ,是迄今为止治疗此类疑难疾...

目的 探讨颌骨牵引成骨技术在矫治小下颌畸形伴阻塞性睡眠呼吸暂停综合征(OSAS)中的应用价值。方法  15例患者其中 7例系双侧颞下颌关节 (TMJ)强直致重度小下颌畸形伴重度OSAS ,3例系单侧TMJ强直伴OSAS ,5例为先天发育性或外伤导致的小下颌畸形伴OSAS。双侧牵引 12例 ,单侧牵引 3例。每例患者术前术后均行X线头影测量及睡眠多导图仪检查。结果  15例2 7侧下颌骨最小牵引距离 9mm ,最大 30mm ,平均 2 0 .4mm ,所有病例牵引过程顺利 ,牵引区成骨良好 ,无感染及其他并发症发生。其中术前重度 5例 ,中度 2例 ,轻度 4例均治愈。 4例术前重度术后变为轻度。后气道间隙由治疗前的平均 4.5mm ,增加到 12 .4mm。SNB角 (蝶鞍点与鼻根点、下颌槽座点三角之间形成的角 )由术前平均 6 6度增加到术后的 75度。患者在牵引过程中自觉症状逐渐减轻或消失。平均随访 12个月 ,效果稳定 ,未见复发。结论 颌骨牵引成骨技术不仅可有效矫治小下颌畸形而且可治疗其伴发的OSAS ,且方法简单 ,风险小 ,治愈率高 ,复发率低 ,效果稳定 ,是迄今为止治疗此类疑难疾患最为有效的方法

Objective:To study the application of distraction osteogenesis in correction of temporomandibular joint (TMJ) ankylosis accompanying with micrognathia and obstructive sleep apnea syndrome(OSAS). Methods:Eleven patients (15 sides of TMJ ) of TMJ ankylosis accompanying with mandibular micrognathia and OSAS were treated with distraction osteogenesis. Four patients were bilateral TMJ ankylosis and 7 patients were unilateral TMJ ankylosis. OSAS was diagnosed in all patient preoperatively. The treatment included...

Objective:To study the application of distraction osteogenesis in correction of temporomandibular joint (TMJ) ankylosis accompanying with micrognathia and obstructive sleep apnea syndrome(OSAS). Methods:Eleven patients (15 sides of TMJ ) of TMJ ankylosis accompanying with mandibular micrognathia and OSAS were treated with distraction osteogenesis. Four patients were bilateral TMJ ankylosis and 7 patients were unilateral TMJ ankylosis. OSAS was diagnosed in all patient preoperatively. The treatment included distraction osteogenesis of mandible and TMJ arthroplasty. Distractions were started on the 5th to 8th day postoperatively. The distraction rhythm and rate was 0.25 mm four times a day. The patients underwent active mouth opening postoperatively. Distractor was kept in place for 3-4 months after completion of distraction and then removed. Results:After operation, micrognathia and OSAS of 11 patients were corrected effectively and the range of mouth opening was increased to normal, bone formation in the gaps were perfect and no complications were found. Conclusion:TMJ ankylosis accompanying with micrognathia and OSAS can be treated effectively bydistraction osteogenesis . Distraction osteogenesis of arthroplasty is a new method for treatment of TMJ ankylosis. The procedure is simple with low risk, high curative rate, and stable result. However long term result needs further evaluation.

目的 :探讨内置式颌骨牵引成骨在治疗骨性颞下颌关节 (temporomandibularjoint ,TMJ)强直伴小颌畸形并发阻塞性睡眠呼吸暂停综合征 (obstructivesleepapneasyndrome ,OSAS)中的应用。 方法 :应用内置式颌骨牵引成骨 ,治疗 11例 (15侧 )TMJ强直伴小颌畸形及OSAS患者。患者年龄 9~ 42岁。 4例为双侧颞下颌关节强直伴重度小颌畸形 ,7例为单侧TMJ强直伴小颌畸形。 9例合并重度OSAS ,2例伴有轻、中度OSAS。 8例患者行双侧下颌骨体延长 ,3例患者行单侧下颌骨体延长。 11例患者 15侧TMJ强直均行牵引成骨关节成形术。术后复查 10~2 2个月 ,平均复查时间 15 .3个月。手术包括两个阶段 :第一阶段 ,小颌畸形的牵引成骨治疗 ;第二阶段 ,TMJ强直的牵引成骨关节成形术。术后间歇期 4~ 7d ,牵引速度 1mm·d- 1 ,分 4次进行。稳定期为 3~ 4个月。术后即行开口训练。每一患者术前、术后均行X线头影测量及睡眠多导图仪 (polysomnography ,PSG)检查。...

目的 :探讨内置式颌骨牵引成骨在治疗骨性颞下颌关节 (temporomandibularjoint ,TMJ)强直伴小颌畸形并发阻塞性睡眠呼吸暂停综合征 (obstructivesleepapneasyndrome ,OSAS)中的应用。 方法 :应用内置式颌骨牵引成骨 ,治疗 11例 (15侧 )TMJ强直伴小颌畸形及OSAS患者。患者年龄 9~ 42岁。 4例为双侧颞下颌关节强直伴重度小颌畸形 ,7例为单侧TMJ强直伴小颌畸形。 9例合并重度OSAS ,2例伴有轻、中度OSAS。 8例患者行双侧下颌骨体延长 ,3例患者行单侧下颌骨体延长。 11例患者 15侧TMJ强直均行牵引成骨关节成形术。术后复查 10~2 2个月 ,平均复查时间 15 .3个月。手术包括两个阶段 :第一阶段 ,小颌畸形的牵引成骨治疗 ;第二阶段 ,TMJ强直的牵引成骨关节成形术。术后间歇期 4~ 7d ,牵引速度 1mm·d- 1 ,分 4次进行。稳定期为 3~ 4个月。术后即行开口训练。每一患者术前、术后均行X线头影测量及睡眠多导图仪 (polysomnography ,PSG)检查。 结果 :11例患者19侧下颌骨经牵引延长后 ,小颌畸形及OSAS得到有效治疗。 15侧关节强直经牵引成骨关节成形术矫治后 ,开口度均恢复正常。牵引间隙内成骨良好 ,未见感染及成骨不良等并发症发生 ,无关节强直复发。结论 :牵引成骨技术可有效矫治TMJ强直导致的小颌畸形伴OSAS

 
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