Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
권호 표지

CLINICAL STUDY OF TEMPOROMANDIBULAR JOINT OPEN SURGERY

측두하악관절 관혈적 수술에 관한 임상적 연구

  • Shim, Cheong-Hwan (Dept. of Oral & Maxillofacial Surgery, Section of Dentistry, Seoul National University Bundang Hospital) ;
  • Kim, Young-Kyun (Dept. of Oral & Maxillofacial Surgery, Section of Dentistry, Seoul National University Bundang Hospital) ;
  • Yun, Pil-Young (Dept. of Oral & Maxillofacial Surgery, Section of Dentistry, Seoul National University Bundang Hospital)
  • 심정환 (분당서울대학교병원 치과 구강악안면외과) ;
  • 김영균 (분당서울대학교병원 치과 구강악안면외과) ;
  • 윤필영 (분당서울대학교병원 치과 구강악안면외과)
  • Published : 2005.01.31
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Abstract

Most patients with temporomandibular disorder can be treated conservatively. However, open TMJ surgery can be needed in some patients. We analysed the patients with TMD which open surgery has performed since 1998. Open surgery was carried out in 8 patients. Age ranged from 22 to 61 years, with a mean of 42.8years. All patients were male. Final diagnosis was obtained based upon clinical, radiographic and operative finding as follows; habitual luxation, bony ankylosis, traumatic arthritis, disc displacement with destructive change, disc displacement and adhesion. Etiologic factors included trauma(4), infection(2), and unknown(2). Open surgery included arthroplasty with either of condylectomy, eminectomy, meniscoplasty, capsurrohaphy. All patients were recovered uneventfully without severe complications. Some mouth opening limitation and mouth opening deviation remained. Postoperative aggressive physical therapy and careful follow up were performed. In conclusion, open TMJ surgery must be considered in organic disease such as ankylosis, tumor and TMD without favorable recovery after long-term conservative therapy.

Keywords

References

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