人工颞下颌关节在口腔颌面外科中应用的策略思考与展望

doi:10.7518/hxkq.2024.2024187

华西口腔医学杂志 ›› 2024, Vol. 42 ›› Issue (5): 551-557.doi: 10.7518/hxkq.2024.2024187

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人工颞下颌关节在口腔颌面外科中应用的策略思考与展望

毕瑞野(), 祝颂松()

口腔疾病防治全国重点实验室国家口腔医学中心国家口腔疾病临床医学研究中心四川大学华西口腔医院正颌及关节外科，成都 610041

收稿日期:2024-05-10 修回日期:2024-08-21 出版日期:2024-10-01 发布日期:2024-09-21
通讯作者: 祝颂松 E-mail:rbi@scu.edu.cn;doctorzhu@scu.edu.cn
作者简介:毕瑞野，副教授，博士，E-mail：rbi@scu.edu.cn|毕瑞野，副教授，硕士研究生导师，四川大学华西口腔医（学）院特聘副研究员。中华口腔医学会颞下颌关节病学及(牙合)学专业委员会委员兼工作秘书、中华口腔医学会口腔颌面创伤与正颌专业委员会委员、中华口腔医学会口腔美学专业委员会青年委员、四川省口腔医学会正颌与颞下颌关节专业委员会常务委员。主持国家自然科学基金面上项目等国家级项目4项，省部级项目2项。作为主要完成人获得2020年四川省科技进步一等奖，以第一/通讯作者发表SCI论文30篇。授权国家发明专利8项，参编教材/专著4部。获得国际骨骼生物学研讨会Alice L. Jee青年学者奖、中华口腔医学会颞下颌关节专业委员会创新人才一等奖等6项。|祝颂松，教授，博士研究生导师，四川大学华西口腔医（学）院副院长。中华口腔医学会颞下颌关节病学及(牙合)学专业委员会主任委员、中华口腔医学会口腔颌面创伤与正颌专业委员会副主任委员、四川省口腔医学会正颌与颞下颌关节专业委员会首任主任委员、国际牙医师学院（ICD）Fellow。主持国家重点研发计划（首席）、国家自然科学基金区域重点项目等国家级项目9项。以第一/通讯作者发表SCI论文95篇。授权国家发明专利20余项，转化金额上千万元。主编教材/专著4部，牵头/参与专家共识4项。入选教育部新世纪优秀人才计划、四川省天府青城科技领军人才计划、蓉城英才创新领军人才。以第一完成人获得四川省科技进步奖一等奖等3项。主要研究方向为颞下颌关节外科、牙颌面畸形整复、面部轮廓整形等领域的基础与临床研究。
基金资助:
国家重点研发计划(2023YFC2509200);四川省科技厅重点研发项目(23ZDYF2130);国家自然科学基金区域联合重点项目(U23A20446);国家自然科学基金面上项目(82270999);四川大学华西口腔医院临床队列研究(LCYJ2023-DL-5)

Application of temporomandibular joint prosthesis in oral and maxillofacial surgery: strategic thinking and prospects

Bi Ruiye(), Zhu Songsong()

State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Dept. of Orthognathic and TMJ Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China

Received:2024-05-10 Revised:2024-08-21 Online:2024-10-01 Published:2024-09-21
Contact: Zhu Songsong E-mail:rbi@scu.edu.cn;doctorzhu@scu.edu.cn
Supported by:
National Key Research and Development Program of China(2023YFC2509200);Key R&D Program of Sichuan Provincial Department of Science and Technology(23ZDYF2130);Regional Joint Key Project of National Natural Science Foundation of China(U23A20446);National Natural Science Foundation of China(82270999);Clinical Research Program of West China Hospital of Stomatology, Sichuan University(LCYJ2023-DL-5)

摘要/Abstract

摘要：

颞下颌关节在人体口颌系统中发挥至关重要的作用，其损伤破坏可造成口颌功能障碍与继发颌骨畸形，严重影响患者生存质量。人工颞下颌关节置换是关节严重破坏的主要治疗方式之一，并具有其他方式不可替代的优势。近年来，人工颞下颌关节置换在我国日益受到重视与关注，但因多种原因未获得普及与推广。本文通过总结国内外人工颞下颌关节置换经验，对人工关节置换的治疗原则、治疗流程与技术要点进行系统阐述，旨在促进人工颞下颌关节置换在临床上的应用与推广。

关键词: 颞下颌关节, 关节重建, 关节假体, 颌骨畸形, 髁突

Abstract:

The temporomandibular joint (TMJ) is the critical functional unit in the human stomatognathic system. Damage of the TMJ causes orofacial dysfunction and secondary jaw deformities, leading to seriously decreased quality of life in patients. The TMJ prosthetic replacement is an important treatment method for severe joint destruction because of its remarkable advantages compared with other methods. In recent years, this technique has gradually attracted wide attention in China, but it has not been popularized on a large scale in our country because of several limitations. Thus, in this study, the clinical experience of patients with TMJ prosthetic replacement in clinical units was summarized, and the treatment principles, treatment processes, and technical advantages were systematically discussed, aiming to promote the popularization and application of TMJ prosthetic replacement in China.

Key words: temporomandibular joint, joint reconstruction, joint prosthesis, jaw deformity, condyle

中图分类号:

R782.05

毕瑞野, 祝颂松. 人工颞下颌关节在口腔颌面外科中应用的策略思考与展望[J]. 华西口腔医学杂志, 2024, 42(5): 551-557.

Bi Ruiye, Zhu Songsong. Application of temporomandibular joint prosthesis in oral and maxillofacial surgery: strategic thinking and prospects[J]. West China Journal of Stomatology, 2024, 42(5): 551-557.

图/表 3

参考文献 26

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人工颞下颌关节在口腔颌面外科中应用的策略思考与展望

Application of temporomandibular joint prosthesis in oral and maxillofacial surgery: strategic thinking and prospects

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