颞下颌关节盘移位对面型影响的研究进展

doi:10.19438/j.cjoms.2018.05.016

中国口腔颌面外科杂志 ›› 2018, Vol. 16 ›› Issue (5): 460-464.doi: 10.19438/j.cjoms.2018.05.016

颞下颌关节盘移位对面型影响的研究进展

龚心仪, 江凌勇

上海交通大学医学院附属第九人民医院·口腔医学院口腔颅颌面科,国家口腔疾病临床研究中心, 上海市口腔医学重点实验室,上海市口腔医学研究所,上海 200011

收稿日期:2018-05-21 出版日期:2018-09-20 发布日期:2018-11-06
通讯作者: 江凌勇,E-mail: jly117@sina.com
作者简介:龚心仪（1994-）,女,硕士研究生,E-mail: nancy-xinyi@sjtu.edu.cn
基金资助:
国家自然科学基金(81371121, 81570950); 上海交通大学SMC-晨星青年学者奖励计划优秀青年教师(B类计划); 上海高校高峰高原学科建设项目

The effect of disc displacement of temporomandibular joint on facial morphology: a review of the literature

GONG Xin-yi, JIANG Ling-yong

Department of Oral and Craniomaxillofacial Surgery, Shanghai Ninth People's Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine; National Clinical Research Center for Oral Diseases; Shanghai Key Laboratory of Stomatology & Shanghai Research Institute of Stomatology. Shanghai 20011, China

Received:2018-05-21 Online:2018-09-20 Published:2018-11-06

摘要/Abstract

摘要： 颞下颌关节盘移位是由多种因素导致的关节结构内紊乱疾病,人群中发生率较高,在青少年与成人均有分布。临床表现为关节弹响、疼痛、开口受限或咀嚼困难,也可无症状,结合磁共振成像可明确诊断。但由于关节盘移位的病因复杂、发病机制不明,其对面型的影响及因果关系尚存争议,近年来受到研究者的普遍关注。本文探讨不同类型关节盘移位与偏颌、下颌后缩等面型的相关性,将髁突、关节盘与关节间隙、关节窝的结构与位置变化及可能的机制作一概述,为临床诊疗及相关研究提供思路。

关键词: 颞下颌关节盘移位, 面型, 偏颌, 下颌骨后缩

Abstract: Disc displacement of temporomandibular joint DDis a multifactorial disease causing internal derangement ID, with high morbidity in both adolescents and adults. Its clinical manifestations include clicking, pain, limitation of jaw movement and chewing difficulties, while some patients are asymptomatic. It could be diagnosed definitively based on temporomandibular joint magnetic resonance imaging MRI. However, the relationship between DD and facial morphology remains controversial for its complex etiology and unknown pathogenesis, which has attracted increasing attention recently in this research field. This review discussed its correlation with different facial morphology including facial asymmetry and mandibular retrognathia, summarized the structure and position change of condyle, articular disc, joint space and fossa glenoid, with analysis of its possible mechanism, in order to provide new insights for clinical diagnosis and treatment, as well as related researches.;

Key words: Disc displacement of temporomandibular joint, Facial morphology, Facial asymmetry, Mandibular retrognathia

中图分类号:

R782.6

龚心仪, 江凌勇. 颞下颌关节盘移位对面型影响的研究进展[J]. 中国口腔颌面外科杂志, 2018, 16(5): 460-464.

GONG Xin-yi, JIANG Ling-yong. The effect of disc displacement of temporomandibular joint on facial morphology: a review of the literature[J]. China J Oral Maxillofac Surg, 2018, 16(5): 460-464.

参考文献

[1] Kurita H, Kurashina K, Ohtsuka A, et al.Change of position of the temporomandibular joint disk with insertion of a disk-repositioning appliance[J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 1998, 85(2): 142-145.
[2] Katzberg RW, Tallents RH.Normal and abnormal temporomandibular joint disc and posterior attachment as depicted by magnetic resonance imaging in symptomatic and asymptomatic subjects[J]. J Oral Maxillofac Surg, 2005, 63(8): 1155-1161.
[3] Drace JE, Enzmann DR.Defining the normal temporomandibular joint: closed-, partially open-, and open-mouth MR imaging of asymptomatic subjects[J]. Radiology, 1990, 177(1): 67-71.
[4] Boering G. Temporomandibular joint arthrosis: An analysis of 400 cases [D]. Groningen: University of Groningen, 1966: Chapters 11 and 12.
[5] Hall HD.Intra-articular disc displacement Part II: Its significant role in temporomandibular joint pathology[J]. J Oral Maxillofac Surg, 1995, 53(9): 1073-1079.
[6] Flores-Mir C, Nebbe B, Major PW.Longitudinal study of temporomandibular joint disc status and craniofacial growth[J]. Am J Orthod Dentofacial Orthop, 2006, 130(3): 324-330.
[7] Katzberg RW, Tallents RH, Hayakawa K, et al.Internal derangements of the temporomandibular joint: findings in the pediatric age group[J]. Radiology, 1985, 154(1): 125-127.
[8] 宋浩, 李辉, 蔡协艺, 等. 生长期兔颞下颌关节盘前移位后髁突软骨胶原表达的变化[J]. 中国口腔颌面外科杂志, 2013, 11(4): 281-286.
[9] Xie Q, Yang C, He D, et al.Is mandibular asymmetry more frequent and severe with unilateral disc displacement?[J]. J Craniomaxillofac Surg, 2015, 43(1): 81-86.
[10] Yang IH, Moon BS, Lee SP, et al.Skeletal differences in patients with temporomandibular joint disc displacement according to sagittal jaw relationship[J]. J Oral Maxillofac Surg, 2012, 70(5): e349-360.
[11] Sakar O, Calisir F, Marsan G, et al.Evaluation of the effects of temporomandibular joint disc displacement and its progression on dentocraniofacial morphology in symptomatic patients using posteroanterior cephalometric analysis[J]. Cranio, 2013, 31(1): 23-31.
[12] Ahn SJ, Baek SH, Kim TW, et al.Discrimination of internal derangement of temporomandibular joint by lateral cephalometric analysis[J]. Am J Orthod Dentofacial Orthop, 2006, 130(3): 331-339.
[13] Choi HJ, Kim TW, Ahn SJ, et al.The relationship between temporomandibular joint disk displacement and mandibular asymmetry in skeletal Class III patients[J]. Angle Orthod, 2011, 81(4): 624-631.
[14] Trpkova B, Major P, Nebbe B, et al.Craniofacial asymmetry and temporomandibular joint internal derangement in female adolescents: a posteroanterior cephalometric study[J]. Angle Orthod, 2000, 70(1): 81-88.
[15] Hu YK, Yang C, Xie QY.Changes in disc status in the reducing and nonreducing anterior disc displacement of temporomandibular joint: a longitudinal retrospective study[J]. Sci Rep, 2016, 6: 34253.
[16] Kwon HB, Kim H, Jung WS, et al.Gender differences in dentofacial characteristics of adult patients with temporomandibular disc displacement[J]. J Oral Maxillofac Surg, 2013, 71(7): 1178-1186.
[17] Dias IM, Cordeiro PC, Devito KL, et al.Evaluation of temporomandibular joint disc displacement as a risk factor for osteoarthrosis[J]. Int J Oral Maxillofac Surg, 2016, 45(3): 313-317.
[18] Yura S, Ooi K, Kadowaki S, et al.Magnetic resonance imaging of the temporomandibular joint in patients with skeletal open bite and subjects with no dentofacial abnormalities[J]. Br J Oral Maxillofac Surg, 2010, 48(6): 459-461.
[19] Tasaki MM, Westesson PL, Isberg AM, et al.Classification and prevalence of temporomandibular joint disk displacement in patients and symptom-free volunteers[J]. Am J Orthod Dentofacial Orthop, 1996, 109(3): 249-262.
[20] Katzberg RW, Westesson PL, Tallents RH, et al.Anatomic disorders of the temporomandibular joint disc in asymptomatic subjects[J]. J Oral Maxillofac Surg, 1996, 54(2): 147-153.
[21] Muto T, Kawakami J, Kanazawa M, et al.Relationship between disc displacement and morphologic features of skeletal Class Ⅲ malocclusion[J]. Int J Adult Orthodon Orthognath Surg, 1998, 13(2): 145-151.
[22] Jeon DM, Jung WS, Mah SJ, et al.The effects of TMJ symptoms on skeletal morphology in orthodontic patients with TMJ disc displacement[J]. Acta Odontol Scand, 2014,72(8): 776-782.
[23] Vieira-Queiroz I, Gomes Torres MG, de Oliveira-Santos C, et al. Biometric parameters of the temporomandibular joint and association with disc displacement and pain: a magnetic resonance imaging study[J]. Int J Oral Maxillofac Surg, 2013, 42(6): 765-770.
[24] Hatala MP, Macher DJ, Tallents RH, et al.Effect of a surgically created disk displacement on mandibular symmetry in the growing rabbit[J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 1996, 82(6): 625-633.
[25] Qadan S, Macher DJ, Tallents RH, et al.The effect of surgically induced anterior disc displacement of the temporomandibular joint on the midface and cranial base[J]. Clin Orthod Res, 1999, 2(3): 124-132.
[26] Sharawy M, Ali AM, Choi W, et al.Ultrastructural characterization of the rabbit mandibular condyle following experimental induction of anterior disk displacement[J]. Cells Tissues Organs, 2000, 167(1): 38-48.
[27] de Farias JF, Melo SL, Bento PM, et al. Correlation between temporomandibular joint morphology and disc displacement by MRI[J]. Dentomaxillofac Radiol, 2015, 44(7): 20150023.
[28] Gateno J, Anderson PB, Xia JJ, et al.A comparative assessment of mandibular condylar position in patients with anterior disc displacement of the temporomandibular joint[J]. J Oral Maxillofac Surg, 2004, 62(1): 39-43
[29] 卓子昂, 蔡协艺. 青少年颞下颌关节盘不可复性前移位的影像学转归[J]. 中国口腔颌面外科杂志, 2016, 14(1): 24-27.
[30] 吴勇, 杨驰, 沈国芳, 等. 单侧颞下颌关节不可复性盘前移患者面部对称性的三维测量分析[J]. 中国口腔颌面外科杂志, 2009, 7(5): 392-396.

颞下颌关节盘移位对面型影响的研究进展

The effect of disc displacement of temporomandibular joint on facial morphology: a review of the literature

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