Retrospective study of temporomandibular joint dislocation by surgical treatment

doi:10.7518/hxkq.2018.03.006

Abstract

Abstract:

Objective This study aimed to retrospectively analyze temporomandibular joint dislocation by surgical treat-ment and evaluate the treatment effect. Methods From May 2012 to April 2016, a total of 17 cases of temporomandibular joint dislocation were surgically treated, including 8 cases of irreducible dislocation (ID) and 9 cases of recurrent dislocation (RD). Synovial injection of sclerosing agent by arthroscope was performed in 5 cases, 9 sides; augmentation of the articular eminence by titanium plate implantation was performed in 7 cases, 12 sides; iliac bone transplantation was performed in 1 case, 1 side; Medpore implantation was performed in 3 cases, 6 sides; and eminectomy and capsular tightening were performed in 1 case, 2 sides. Follow-up was conducted 1-5 years after the operation, and the success rate statistics was obtained. Results The cure rate of synovial injection of sclerosing agent by arthroscope was 77.8% (7/9), and the effective rate was 100%. The cure rate of titanium plate implantation was 75% (9/12), and the effective rate was 100%. The cure rates of augmentation of the articular eminence by Medpore implantation (6/6), iliac bone graft (1/1), and eminectomy (2/2) were 100%. Conclusion The surgical method of temporomandibular joint dislocation was selected according to the state of the patients. The postope-rative recurrent patients were advised to undergo augmentation of the articular eminence by Medpore implantation, which offered a reduced chance of recurrence and relatively less injury, as well as a simple operative method.

Key words: temporomandibular joint dislocation, surgical treatment, retrospective study

CLC Number:

R782.6⁺2

Yongming Qiao, Yiming Liu, Rui Li, Jianmin Gong, Wei He. Retrospective study of temporomandibular joint dislocation by surgical treatment[J]. West China Journal of Stomatology, 2018, 36(3): 262-266.

Figures/Tables 6

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Fig 3

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Tab 1

Basic data and follow-up of 17 cases of temporomandibular joint dislocation

病例	性别	年龄	部位	术前	病程	诊断	伴发	手术时	手术方法	随访时	结果	开口度/	开口型	咬合	咀嚼	疼痛
病例	性别	年龄	部位	咬合	病程	诊断	疾病	间/年月	手术方法	间/月	结果	mm	开口型	咬合	功能	疼痛
1	女	76	右侧	错	2月余	ID		2012.5	钛板植入	62	治愈	35	右偏	正常	好	无
2	男	63	双侧	错	1月	ID	脑卒中	2012.6	钛板植入	61	治愈	37	正	正常	好	无
3	女	49	双侧	正常	1月	RD		2012.7	滑膜下硬化	60	治愈	40	正	正常	好	无
4	男	20	右侧	正常	2月	RD		2013.2	滑膜下硬化	53	有效	43	左偏	正常	好	无
5	女	75	双侧	错	7年/10 d	ID		2013.3	钛板植入	52	治愈	38	正	正常	好	无
6	女	79	双侧	正常	20年	RD	脑卒中	2013.3	滑膜下硬化	3	有效	42	正	正常	差	无
7	女	73	双侧	正常	3月	RD	脑卒中	2013.5	滑膜下硬化	28（亡）	治愈	38	正	正常	好	无
8	女	61	双侧	正常	5年	RD	脑卒中	2013.5	滑膜下硬化	50	治愈	34	正	正常	差	无
9	女	79	右侧	正常	4 d	RD	脑卒中	2013.6	钛板植入	12	有效	40	左偏	错	差	无
10	女	66	双侧	正常	1年半	RD	帕金森	2013.7	钛板植入	8	有效	38	正	错	差	有
11	女	87	双侧	正常	6年	RD		2013.8	钛板植入	45（亡）	治愈	36	正	正常	好	无
12	女	69	双侧	正常	1月余	RD	脑卒中、	2014.3	钛板植入	40	治愈	38	正	正常	好	无
							阿尔茨海
							默病
13	女	67	双侧	错	1 d	ID	帕金森	2014.3	关节结节切	15（亡）	治愈	38	正	正常	差	无
									除术+关节
									囊紧缩术
14	女	80	右侧	错	4 d	ID	脑卒中	2014.6	髂骨移植	37	治愈	40	右偏	正常	差	无
15	男	65	双侧	错	5年/1年	ID	脑外伤	2015.1	Medpore植入	30	治愈	37	正	正常	好	无
16	女	54	双侧	错	10年/1周	ID		2015.3	Medpore植入	28	治愈	37	正	正常	好	无
17	男	60	双侧	错	2月	ID	脑卒中术	2016.4	Medpore植入	15	治愈	42	正	正常	差	轻
							后、抑郁

Tab 1

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