儿童颞下颌关节强直的治疗进展

Progress in Treatment of Temporomandibular Joint Ankylosis in Children

颞下颌关节强直(TMJA)好发于儿童,不仅影响发音和咀嚼功能,还会导致儿童颌面部发育畸形。儿童TMJA的手术技术难度较大,复发率也较高。但随着现代麻醉以及手术技术的进一步发展,儿童TMJA可以进行早期治疗。儿童TMJA的治疗原则为解除强直并初步纠正颌面部畸形,手术方法主要包括关节成形术和关节重建术,手术方法的选择应考虑TMJA的类型及有无颌面部畸形。目前儿童TMJA的治疗以病例报道为主,尚缺乏统一标准,未来的研究应该规范病例报道的标准,从而提供更高等级的研究报告。

Temporomandibular joint ankylosis(TMJA)often occurs in children,which not only affects pronunciation and masticatory function,but also leads to maxillofacial malformation in children.The surgical correction of TMJA is technically difficult and the recurrence rate after treatment is high.However,with the further development of modern anesthesia and surgical technology,children′s TMJA can be treated early.The principles of treatment of TMJA in children is to release the ankylosis and preliminarily correct the deformity.The surgical methods mainly include arthroplasty and joint reconstruction.The selection of surgical methods should consider the type of TMJA and whether there are maxillofacial deformities.At present,the treatment of TMJA in children focus on case report,and lack of unified standards,so the study in the future should specify the standard of the case report,in order to provide more research reports with superior evidence.