正颌手术后意外颞下颌关节盘复位:1例长期影像学随访报告。

IF 1.7 Q3 DENTISTRY, ORAL SURGERY & MEDICINE
Hak-Sun Kim, Sang-Sun Han, Chena Lee
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引用次数: 0

摘要

本文报告一例罕见的颞下颌关节(TMJ)椎间盘移位的病例,在正颌手术后复位到正常位置,长期磁共振成像(MRI)随访显示这些术后变化。男性,22岁,面部不对称。他还主诉右侧颞下颌关节区域疼痛,MRI显示双侧颞下颌关节椎间盘移位。矫正面部不对称的正颌手术后,重新评估TMJ。症状消失,开口时椎间盘定位在正常范围内。然而,手术后6年半,他抱怨右关节复发性疼痛,MRI显示右侧TMJ内侧椎间盘移位。综上所述,正颌手术对椎间盘位置的影响可能会持续很长时间,直到TMJ适应了新的位置。建议仔细和长期随访评估TMJ复合体。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Unintentional temporomandibular joint disc reduction after orthognathic surgery: A case report with long-term imaging follow-up.

Unintentional temporomandibular joint disc reduction after orthognathic surgery: A case report with long-term imaging follow-up.

Unintentional temporomandibular joint disc reduction after orthognathic surgery: A case report with long-term imaging follow-up.

Unintentional temporomandibular joint disc reduction after orthognathic surgery: A case report with long-term imaging follow-up.

This report presents a rare case where a displaced temporomandibular joint (TMJ) disc was reduced to its normal position after orthognathic surgery, and long-term magnetic resonance imaging (MRI) follow-up visualized these postoperative changes. A 22-year-old male patient presented for facial asymmetry. He also complained of pain in the right TMJ area, and MRI showed disc displacements in both TMJs. After orthognathic surgery for facial asymmetry correction, the TMJ was re-evaluated. The symptom had resolved and the disc was positioned within the normal range during mouth opening. However, 6 and a half years after surgery, he complained of recurrent pain in the right joint, and MRI revealed medial disc displacement in the right TMJ. In conclusion, the influence of orthognathic surgery on the disc position might continue for a long time until the TMJ adapts to the new position. Careful and long-term follow-up is suggested to assess the TMJ complex.

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来源期刊
Imaging Science in Dentistry
Imaging Science in Dentistry DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
2.90
自引率
11.10%
发文量
42
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