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tmj重建
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  tmj reconstruction
     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.
     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。
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     6 cases underwent bilateral TMJ reconstruction, bone graft and genioplasty in order to advance the jaw.
     6例行双侧 TMJ重建、植骨前移下颌和颏成形术。
短句来源
     Bimaxillary surgical procedure was completed in 3 cases, and distraction osteogensis (DO) and TMJ reconstruction in 6 cases.
     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。
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  相似匹配句对
     How to Reconstruct Social Credibility in China?
     重建信任
短句来源
     How to reconstruct it?
     如何重建?
短句来源
     6 cases underwent bilateral TMJ reconstruction, bone graft and genioplasty in order to advance the jaw.
     6例行双侧 TMJ重建、植骨前移下颌和颏成形术。
短句来源
     TGF β1 may play a role in the reconstructive process of TMJ degeneration.
     TGF β1在TMJ退行性变的修复重建过程中 ,可能发挥了一定作用。
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  tmj reconstruction
Attention will also be paid to the long-term results of the alloplastic bilateral TMJ reconstruction.
      


Objective: To investigate the effect of experimental osteoporosis on the rat temporomandibular joint(TMJ) by using bone histomorphometric method. Methods: Twenty SD rats of twenty weeks old were assigned to 2 groups of 10 each. One group underwent bilateral ovariectomies to induce osteoporosis serving as experimental group. Condylar subchondral bone of the TMJs of rats was studied by using bone histomorphometric method. Results: In the experimental group, both TBV% (the fraction of trabecular bone volume)...

Objective: To investigate the effect of experimental osteoporosis on the rat temporomandibular joint(TMJ) by using bone histomorphometric method. Methods: Twenty SD rats of twenty weeks old were assigned to 2 groups of 10 each. One group underwent bilateral ovariectomies to induce osteoporosis serving as experimental group. Condylar subchondral bone of the TMJs of rats was studied by using bone histomorphometric method. Results: In the experimental group, both TBV% (the fraction of trabecular bone volume) and MTT (mean trabecular thickness) of the condylar subchondral bone were significantly decreased, whereas the RS% (the fraction of resorptive surface) and OS% (the fraction of osteoid surface) significantly increased. Conclusion: The results showed the increase of bone turnover and negative imbalance of bone remodeling in condylar subchordral bone. These alterations may induce TMJ remodeling and predispose to degenerative changes in the TMJ. (J Beijing Med Univ, 2000,32:149 151)

目的 :观察实验性大鼠骨质疏松症对颞下颌关节 (temporomandibularjiont,TMJ)骨组织形态计量学的影响。方法 :2 0只 2 0周龄SD大鼠分为 2组 ,每组 10只。用去势方法诱导大鼠骨质疏松症作为实验组 ;假手术组作为对照组。应用骨组织形态计量方法观察大鼠髁突软骨下骨结构变化。结果 :实验组大鼠髁突软骨下骨小梁相对体积减小 ,平均宽度变薄 ,而骨小梁吸收表面百分比与类骨质表面百分比比对照组均增加。结论 :实验性骨质疏松症大鼠髁突软骨下骨存在骨重建负平衡与高骨转换现象。这种变化可导致TMJ重建的改变 ,可能是引起TMJ退行性变化的原因之一。

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 ;

 
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