颞下颌关节纤维性强直保守治疗的临床研究

Clinical ctudy of conservative treatment in fibro ankylosis of the temporomandibular joint.

目的 :总结颞下颌关节纤维性强直保守治疗的经验。方法 :选择适当的颞下颌关节纤维性强直的病例共 11例 ,在全麻下 ,使用一定强度的外力使纤维性粘连撕裂松解。结果 :11例颞下颌关节纤维性强直全部治疗成功 ,治疗后外形及功能恢复良好。结论 :用保守治疗的方法治疗颞下颌关节纤维性强直 ,较手术方法有许多优越性 ,但也存在着一些不足的方面 ,有待进一步探索、解决。适应证的选择恰当 ,并能坚持有效的张口训练 ,是保守治疗成功的关键。

Objective: The aim of the present study was investigating a new method for conservative treatment in fibrosis of the temporomandibular joint. Methods: 11cases of fibro ankylosis of the TMJ were treated by a mouth gag to tear and relax the fibro ankylosis in general aneasthesia.Results: All of the cases were successed,the function of mouth opeing resumed and the appearance were satisfactory. Condusion: This conservarive treatnent is better than surgical operation in fibro ankylosis of TMJ.The key point is to choose suitable cases and persevere in opening exercise.