The use of dermis grafts after discectomy for internal derangement of the temporomandibular joint
The use of dermis grafts after discectomy for internal derangement of the temporomandibular joint
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DOI：
10.1016/j.joms.2004.06.051
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发表时间：
2005-02-01
影响因子：
1.9
通讯作者：
Dimitroulis, G
中科院分区：
文献类型：
--
作者：
Dimitroulis, G
目的：本回顾性临床研究的目的是回顾自体真皮作为颞下颌关节（TMJ）椎间盘切除术即时间置移植物治疗晚期TMJ内部紊乱患者的结果。患者和方法：29例晚期TMJ内部紊乱伴椎间盘退变和不可修复的患者中35个关节被确定并纳入研究。所有患者均行TMJ关节切开术（包括6例双侧TMJ手术），包括椎间盘切除和自体真皮移植。患者平均随访2年。结果：最大内开度平均提高6.7 mm，疼痛平均改善66% (P
Purpose: The aim of this retrospective clinical study, vas to review the outcomes of temporomandibular joint (TMJ) discectomy with autogenous dermis used as an immediate interpositional graft in patients with advanced internal derangement of the TMJ.Patients and Methods: Thirty-five joints in 29 patients who presented with advanced internal derangement of the TMJ with degenerate and irreparable discs were identified and included in the study. All patients underwent a TMJ arthrotomy (including 6 bilateral TMJ procedures) that involved removal of the disc (discectomy) and immediate replacement with autogenous dermis graft. Patients were followed up for an average of 2 years.Results: There was a mean +6.7-mm improvement in maximum interincisal opening: a 66% mean improvement in pain (P