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颞下颌关节陈旧性脱位的病例,多采用手术疗法。最近我院收治一例脱位后三个月的患者,应用颌间钢丝结扎固定带钩牙弓夹板加橡皮圈牵引法,获得良好复位效果。 病例:男性,39岁,93年8月由于打哈欠致颞下颌关节脱位,当时未注意颞下颌关节的脱位,未予以处理,同年10月来我院就诊。 检查:颜面左右对称,颏部呈前突状态,上下唇可闭合,但呈开(牙合)状态,流延,左右耳屏前方相当于关节凹部位可触到凹陷。髁状突向前方突出。颞下颌关节无自发痛和运动痛,但不能做前后左右活动。
Temporomandibular joint dislocation of the old cases, the use of surgical treatment. Recently admitted to our hospital a case of dislocation after three months of patients, the application of intermaxillary wire ligament fixation with a hook arch and rubber band traction method to obtain a good reduction effect. Case: Male, 39 years old, 93 years in August due to yawning caused by temporomandibular joint dislocation, did not pay attention to the dislocation of the temporomandibular joint, did not deal with the same year in October to our hospital. Check: the facial symmetry, prominence of the chin was state, the upper and lower lip can be closed, but was opened (occlusion) state, casting, left and right front of the tragus is equivalent to the concave portion can touch the depression. Condyle prominent to the front. Temporomandibular joint without spontaneous pain and exercise pain, but can not do around the activity.