Orthognathic surgery and temporomandibular joint symptoms.
Orthognathic surgery and temporomandibular joint symptoms.
复制标题
DOI：
10.1186/s40902-015-0014-4
复制
发表时间：
2015-12
影响因子：
2.3
通讯作者：
Jung YS
中科院分区：
文献类型：
--
作者：
Jung HD;Kim SY;Park HS;Jung YS
本文的目的是回顾颞下颌关节症状以及正颌手术（OGS）对颞下颌关节（TMJ）的影响。颞下颌关节病（TMD）的病因是多因素的，TMD的症状表现为下颌运动范围受限、咀嚼肌和颞下颌关节疼痛、关节噪音（咔嗒声、爆裂声或捻发音）、肌筋膜疼痛和其他功能限制。治疗必须根据正确的诊断开始，并且几乎可以通过可逆的选择来缓解症状。当有指征时，在可逆治疗后也可以进行微创治疗和开放性关节置换术。 TMD表现为多种症状，还会对下颌骨髁突施加异常应力，影响下颌骨的生长方式。因此，下颌髁突的适应性发育变化和下颌骨髁突的发育后退行性变化可以造成面部骨骼和咬合的改变。 DFD患者OGS后面部骨骼的变化对颞下颌关节、咀嚼肌组织及周围软组织以及颞下颌关节症状的变化产生影响。颌面外科医生必须提醒，任何涉及下颌截骨术的外科手术都可能直接影响颞下颌关节症状，因此在制定治疗计划和 OGS 之前应考虑预先存在的颞下颌关节症状和诊断。
The aim of this article is to review temporomandibular joint symptoms as well as the effects of orthognathic surgery(OGS) on temporomandibular joint(TMJ). The causes of temporomandibular joint disease(TMD) are multifactorial, and the symptoms of TMD manifest as a limited range of motion of mandible, pain in masticatory muscles and TMJ, Joint noise (clicking, popping, or crepitus), myofascial pain, and other functional limitations. Treatment must be started based on the proper diagnosis, and almost symptoms could be subsided by reversible options. Minimally invasive options and open arthroplasty are also available following reversible treatment when indicated. TMD manifesting in a variety of symptoms, also can apply abnormal stress to mandibular condyles and affect its growth pattern of mandible. Thus, adaptive developmental changes on mandibular condyles and post-developmental degenerative changes of mandibular condyles can create alteration on facial skeleton and occlusion. The changes of facial skeleton in DFD patients following OGS have an impact on TMJ, masticatory musculature, and surrounding soft tissues, and the changes of TMJ symptoms. Maxillofacial surgeons must remind that any surgical procedures involving mandibular osteotomy can directly affect TMJ symptoms, thus pre-existing TMJ symptoms and diagnoses should be considered prior to treatment planning and OGS.