基于生物力学分析的分侧口内外联合法治疗颞下颌关节前脱位

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英文篇名：The study of combined unilateral intraoral and extraoral reduction approach in the treatment of anterior temporomandibular joint dislocation 作者：马婷婷 ; 宋勇 ; 王俊林 ; 刘彦杰 ; 陈裕聪 ; 何浒杰 ; 王博灏 英文作者：Ma Tingting;Song Yong;Wang Junlin;Liu Yanjie;Chen Yucong;He Hujie;Wang Bohao;Dept.of Stomatology, Liuzhou General Hospital; 关键词：生物力学 ; 颞下颌关节 ; 前脱位 ; 复位 英文关键词：biomechanics;;temporomandibular joint;;anterior dislocation;;reduction 中文刊名：HXKQ 英文刊名：West China Journal of Stomatology 机构：柳州市人民医院口腔科; 出版日期：2019-06-01 出版单位：华西口腔医学杂志 年：2019 期：v.37 语种：中文; 页：HXKQ201903017 页数：4 CN：03 ISSN：51-1169/R 分类号：73-76

摘要

目的探讨分侧口内外联合法治疗颞下颌关节前脱位的临床效果。方法利用口颌系统姿态肌链平衡理论对颞下颌关节复位过程进行生物力学分析,改进复位手法;运用分侧口内外联合法治疗87例颞下颌关节前脱位患者,对临床效果进行评价。结果分侧口内外联合法可有效避免升颌肌群反射性收缩,提高复位效率;87例患者均成功复位,术程用力轻巧高效,髁突下降指征明确,患者并发症少。结论分侧口内外联合法是一种高效、便捷、微创的颞下颌关节前脱位复位方法,在临床上有一定的推广应用价值。
        Objective To observe the clinical outcomes of a combined unilateral intraoral and extraoral reduction approach in the treatment of anterior temporomandibular joint(TMJ) dislocation. Methods Postural muscular chains were utilized in the biomechanical analysis of stomatognathic systems for improving TMJ repositioning approaches. A total of 87 patients with anterior TMJ dislocation were included in the present study. A combined unilateral intraoral and extraoral reduction approach was applied, and the clinical effects were evaluated. Results Biomechanical analysis reveal that reflexive contraction of the maxillary muscle group was blocked sufficiently during the combined unilateral intraoral and extraoral reduction process. All dislocated TMJs were set successfully and efficiently with few complications. Conclusion Combined unilateral intraoral and extraoral reduction approach is an effective, convenient, and minimally invasive way to treat anterior TMJ dislocations.

引文

[1]Akinbami BO. Evaluation of the mechanism and principles ofmanagementoftemporomandibularjointdislocation.Systematic review of literature and a proposed new classification of temporomandibular joint dislocation[J]. Head Face Med, 2011, 7:10.
    [2]Ardehali MM, Tari N, Bastaninejad SH, et al. Comparison of different approaches to the reduction of anterior temporomandibular joint dislocation:a randomized clinical trial[J]. Int J Oral Maxillofac Surg, 2016, 45(8):1009-1014.
    [3]皮昕,王美青,何三纲.口腔解剖生理学[M].7版.北京:人民卫生出版社, 2012:139-143.Pi X, Wang MQ, He SG. Oral anatomy and physiology[M].7th ed. Beijing:People’s Medical Publishing House, 2012:139-143.
    [4]张志愿,俞光岩.口腔颌面外科学[M]. 7版.北京:人民卫生出版社, 2012:388-390.Zhang ZY, Yu GY. Oral and maxillofacial surgery[M]. 7th ed. Beijing:People’s Medical Publishing House, 2012:388-390.
    [5]Liddell A, Perez DE. Temporomandibular joint dislocation[J]. Oral Maxillofac Surg Clin North Am, 2015, 27(1):125-136.
    [6]Chen YC, Chen CT, Lin CH, et al. A safe and effective way forreductionoftemporomandibularjointdislocation[J].Ann Plast Surg, 2007, 58(1):105-108.
    [7]Ardehali MM, Kouhi A, Meighani A, et al. Temporomandibular joint dislocation reduction technique:a new external method vs. the traditional[J]. Ann Plast Surg, 2009, 63(2):176-178.
    [8]Cheng D. Unified hands technique for mandibular dislocation[J]. J Emerg Med, 2010, 38(3):366-367.
    [9]Gorchynski J, Karabidian E, Sanchez M. The “syringe” technique:a hands-free approach for the reduction of acute nontraumatic temporomandibular dislocations in the emergency department[J]. JEmerg Med, 2014, 47(6):676-681.
    [10]Xu JT, Dong ST, Zhou HH, et al. The supine position technique method is better than the conventional method for manual reduction of acute nontraumatic temporomandibular joint dislocation[J]. J Craniofac Surg, 2016, 27(4):919-922.
    [11]Forshaw RJ. Reduction of temporomandibular joint dislocation:an ancient technique that has stood the test of time[J]. Br Dent J, 2015, 218(12):691-693.
    [12]Prechel U, Ottl P, Ahlers OM, et al. The treatment of temporomandibular joint dislocation[J]. Dtsch Arztebl Int, 2018,115(5):59-64.
    [13]Shun TAT, Wai WT, Chiu LC. A case series of closed reduction for acute temporomandibular joint dislocation by a new approach[J]. Eur J Emerg Med, 2006, 13(2):72-75.
    [14]Ye?ilo?lu N, Sarici M,?irino?lu H, et al. The lever technique for the external reduction of temporomandibular joint dislocation[J]. J Plast Reconstr Aesthet Surg, 2015, 68(1):123-125.