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측두근-근막피판을 이용한 악관절 강직증의 외과적 재건

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Affiliated Author(s)
이용규권대근김종배
Alternative Author(s)
Lee, Yong GyooKwon, Tae GeonKim, Jong Bae
Journal Title
대한구강악안면외과학회지
ISSN
2234-7550
Issued Date
2000
Abstract
The treatment of TMJ ankylosis poses a significant challenge because of technical difficulties and high incidence of recurrence. TMJ ankylosis has been treated by excision and total joint reconstruction with alloplastic, allogeneic, autogenous materials as interpositional materials. The temporalis myofascial flap had been considered to be a successful interpositional material, due to its anatomical, topographical, and functional properties. This study evaluated the efficacy of the temporalis myofascial flap for nine TMJs (five patients) through the preauricular approach and coronoidectomy. Radiographic and physiologic long term result was investigated in this study. The result reveals that the temporalis myofascial flap is a good autogenous tissue satisfying the criteria of an ideal interpositional material, which offers a material that fulfills the physiological function of the disc. In spite of favorable functional outcome, mild postoperative openbite tendency remains another challenge.
Alternative Title
INTERPOSITIONAL ARTHROPLASTY OF TEMPOROMANDIBULAR JOINT ANKYLOSIS WITH TEMPORALIS MYOFASCIAL FLAP
Department
Dept. of Dentistry (치과학)
Publisher
School of Medicine
Citation
남정순 et al. (2000). 측두근-근막피판을 이용한 악관절 강직증의 외과적 재건. 대한구강악안면외과학회지, 26(5), 544–549.
Type
Article
ISSN
2234-7550
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/37654
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Dentistry (치과학)
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