摘要
颞下颌关节弹响是颞下颌关节紊乱病发生率最高的症状,其传播最广泛的病理机制学说是关节盘移位.据文献报道,约1/3的无症状者存在不同程度的关节盘移位,而约1/4的颞下颌关节弹响者关节盘位置基本正常或仅有轻微移位;用手术等方法将关节盘重置于＂正确位置＂的远期疗效并不理想.本文从解剖学与病理生理学角度,就依据影像学诊断的＂关节盘移位＂中可能存在的组织改建问题进行讨论和分析.
Sounding takes the highest prevalence of the signs of temporomandibular disorders （TMD）. The well accepted theory of the mechanism for temporomandibular joint （TMJ） sounding is the internal derangement typically characterized by disc displacement. However, according to literature, there are approximately one third of asymptomatic joints in population had disc displacement, and, on the other hand, there are one fourth of TMJ sounding patients had not signs or very limited signs of disc displacement. Replacing the displaced disc to the normal position via methods like surgical operation did not achieve satisfactory long-term outcomes. In this review, we discuss and analyze the possible remodeling of the joint disc displacement diagnosed with imaging based on the anatomy and pathophysiology.
出处
《中华口腔医学杂志》
CAS
CSCD
北大核心
2017年第3期143-147,共5页
Chinese Journal of Stomatology
关键词
牙
颞下颌关节盘
盘前移位
适应性改建
Dental occlusion
Temporomandibular joint disk
Anterior disc displacement
Adaptive remodeling
作者简介
王美青 主任医师、教授、博士研究生导师。现任中华口腔医学会颞下颌关节病学及骀学专业委员会副主任委员，兼任美国塔芙茨大学口腔医学院客座教授，JBMR、J Dent Res、J Oral Rehbil和c础NIO等国际杂志及《中华口腔医学杂志》等多本中文核心期刊编委，主编《口腔解剖生理学》（第7版）等卫生部高等院校规划教材，获军队育才银奖、金奖及全军优秀教师称号，主持10项国家自然科学基金项目（包括1项重点项目），发表SCI论文五十余篇，主编出版专著4部。曾以第一负责人获军队科技进步二等奖1项，陕西省科技进步一等奖1项。Email：mqwang@fmmu．edu．cn，电话：029-84776144
