Maxillofacial Plastic and Reconstructive Surgery
- 제15권1호
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- Pages.11-20
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- 1993
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- 2288-8101(pISSN)
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- 2288-8586(eISSN)
악관절 강직증 치료에 있어 측두근 및 근막의 이용
THE USE OF A PEDICLED TEMPORAL MUSCLE AND FASCIA FOR TREATMENT OF THE TMJ ANKYLOSIS
- 이철우 (조선대학교 치과대학 구강악안면외과학 교실) ;
- 여환호 (조선대학교 치과대학 구강악안면외과학 교실) ;
-
김영균
(조선대학교 치과대학 구강악안면외과학 교실) ;
- 이효빈 (조선대학교 치과대학 구강악안면외과학 교실)
- Lee, Chul-Woo (Department of Oral & Maxillofacial Surgery, College of Dentistry, Chosun University) ;
- Yeo, Hwan-Ho (Department of Oral & Maxillofacial Surgery, College of Dentistry, Chosun University) ;
-
Kim, Young-Gyun
(Department of Oral & Maxillofacial Surgery, College of Dentistry, Chosun University) ;
- Lee, Hyo-Bin (Department of Oral & Maxillofacial Surgery, College of Dentistry, Chosun University)
- 발행 : 1993.03.31
초록
Bony ankylosis is an intraarticular condition where there is fusion of the bony surfaces of the joint : The condyle and the glenoid fossa. It occurs in both children and adults, unfortunately more frequently in the former, in whom early recognition and correction is particularly critical. Trauma is well proven to be the predominant cause of TMJ ankylosis. Infection, rheumatoid arthritis and neoplasm are another, significant cases of TMJ ankylosis. The necessity for using an interpositional material to prevent TMJ reankylosis has been widely discussed and many interpositional materials have been used, including temporal muscle and fascia, dermis, auricular cartilage, fascia lata, fat, Lyo-dura, Silastic and various metals. The temporal muscle and fascia have been widely used pedicled flap for head and neck reconstruction. The use of a temporal muscle and fascia for reconstruction of the TMJ, particularly in cases of ankylosis is a very reasonable option. Its principle advantages are its autogenous nature, resilience, and proximity to the joint, allowing for a pedicled transfer of vascularized tissue into the joint area. However, the viability of temporal muscle and fascia is a critical question. We treated 2 cases of TMJ ankylosis with temporal muscle and fascia transfer and one case with temporal fascia. We obtained satisfactory results as to functional aspects.
키워드