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颞下颌关节强直既有纤维性的,又有骨性的。手术方法主要为髁状突截除术和关节成形术。颞肌筋膜瓣常作为关节成形术的插入物。虽然手术基本技巧和手术方法至今没有明显变化,但却出现与原先标准操作不同的各种方法。但各种手术的复发率仍属很高。许多材料曾被用来作为关节成形术的插入物,但缺乏一个有显著优点的材料。近来特别感兴趣之一的是用肋软骨和蹠骨移植。这种移植在儿童关节强直手术后,期望转入一个生长中心维持下颌骨的生长,由此维持下颌升枝的高度。
Temporomandibular joint ankylosis both fibrous, but also bony. Surgical methods are mainly condylar resection and arthroplasty. Temporal myofascial flap often as an arthroplasty insert. Although the basic skills of surgery and surgical methods have not changed so far, but there are different from the original standard operation of various methods. However, the recurrence rate of various operations is still very high. Many materials have been used as inserts for arthroplasty but lacking a material of significant advantage. Of particular interest recently is the costal and metatarsal transplantation. This transplant, after ankylosing spondylectomy in children, is expected to transfer to a growth center to sustain mandibular growth, thereby maintaining the height of the mandibular ascending branch.