習慣性顎関節脱臼に対する関節結節増量術の経験-ハイドロキシアパタイトブロックの応用

概要

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A modified method of the Naumann's method reported in 1974 was applied to a patient afflicted with temporomandibular luxation with Parkinson's disease. These summary was as follows:<BR>A 74-year-old woman visited our clinic complaining of disturbance with closing her mouth, and was complicated with Parkinson's disease. Her temporomandibular joints were completely dislocated. A trial of ordinally manual reposition was given without success. Open reduction in temporal approach according to the Naumann's method was performed under general anesthesia. In our method the use of hydroxyapatite block for iliac bone graft was substituted. There has been no recurrence of dislocation since the operation. In our case this patient's zygomatic arch was narrow and thin, so that other surgical procedures such as the Leclerc method could not have been applied. An application of hydroxyapatite block led to good results for habitual luxation of the temporomandibular joint.
社団法人日本口腔外科学会の論文