임상가를 위한 특집 2 - 인공 턱관절 전치환술 |
허종기 |
연세대학교 치과대학 구강악안면외과학교실(강남세브란스 병원) |
Alloplastic total temporomandibular joint replacement |
Jong-Ki Huh |
Department of Oral and Maxillofacial Surgery, College and School of Dentistry, Yonsei University |
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Abstract |
Temporomandibular joint (TMJ) prosthesis have been hesitated to use because of bitter memories about Proplast-Teflon interpositional TMJ implants. Many clinicians, however, are trying to use total TMJ prosthesis with getting continuous long-term follow-up results. Alloplastic total TMJ replacement have been applied to much more patients who have failed previous TMJ prostheses or TMJ implants, fibrous/bony ankylosis, severe osteoarthritis, degenerative joint disease, idiopathic condylar resorption, condyle loss by trauma or tumor resection, and other bony destructive diseases. Nowadays three types of total TMJ prosthesis are widely used. In this article, indications, types of prosthesis, safety and stability would be demonstrated with a case report. |
Key Words:
temporomandibular joint;mandibular condyle;replacement arthroplasty;joint prosthesis; |
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