切换至 "中华医学电子期刊资源库"
高级检索
中华口腔医学研究杂志(电子版)

中华口腔医学研究杂志(电子版) ›› 2022, Vol. 16 ›› Issue (06) : 393 -397. doi: 10.3877/cma.j.issn.1674-1366.2022.06.010

综述

特发性髁突吸收的治疗方法进展
陈梦蝶1, 林阳阳1, 侯敏1,†()   
  1. 1. 南开大学附属口腔医院，天津市口腔医院正颌外科，天津市口腔功能重建重点实验室，天津　300000
  • 收稿日期:2022-09-11 出版日期:2022-12-01
  • 通信作者: 侯敏

Research progress in the treatment of idiopathic condylar resorption

Mengdie Chen1, Yangyang Lin1, Min Hou1,†()   

  1. 1. Hospital of Stomatology, Orthognathic Surgery of Tianjin Stomatological Hospital, Nankai University, Tianjin Key Laboratory of Oral Function Reconstruction, Tianjin 300000, China
  • Received:2022-09-11 Published:2022-12-01
  • Corresponding author: Min Hou
  • Supported by:
    Tianjin Medical Key Disciplines (Specialist) Construction Project Funding(TJYXZDXK-048A)
全文 ( ) 下载PDF ( ) 导出引用
引用本文：

陈梦蝶, 林阳阳, 侯敏. 特发性髁突吸收的治疗方法进展[J]. 中华口腔医学研究杂志(电子版), 2022, 16(06): 393-397.

Mengdie Chen, Yangyang Lin, Min Hou. Research progress in the treatment of idiopathic condylar resorption[J]. Chinese Journal of Stomatological Research(Electronic Edition), 2022, 16(06): 393-397.

特发性髁突吸收（ICR）是指不明原因引起的渐进性髁突吸收，表现为髁突体积减小，下颌支垂直高度降低，下颌骨会发生旋转、前牙进行性开、后牙早接触及骨性Ⅱ类错等。关于ICR的病因及治疗目前仍有争议，本文将对ICR的治疗进行综述，希望给临床诊治提供参考。

关键词: 髁突, 特发性髁突吸收, 诊断, 病因

The idiopathic condylar resorption refers to the progressive condylar resorption caused by unknown reasons, which is characterized by a decrease in the volume of the condyle and the vertical height of the mandibular branch, as well as rotation of the mandible, the progressive opening of the anterior teeth, early contact of the posterior teeth, and skeletal class Ⅱ malocclusion. The etiology and treatment of ICR are still controversial. This article will review the treatment of ICR, hoping to provide a reference for clinical diagnosis and treatment.

Key words: Condylar process, Idiopathic condylar resorption, Diagnosis, Pathogenesis
[1]
Rabey GP. Bilateral mandibular condylysis—A morphanalytic diagnosis[J]. Br J Oral Surg，1977，15(2):121-134. DOI：10.1016/0007-117X(77)90044-0.
[2]
Wolford LM，Cardenas L. Idiopathic condylar resorption：Diagnosis，treatment protocol，and outcomes[J]. Am J Orthod Dentofacial Orthop，1999，116(6):667-677. DOI：10.1016/s0889-5406(99)70203-9.
[3]
Chamberland S. Progressive idiopathic condylar resorption：Three case reports[J]. Am J Orthod Dentofacial Orthop，2019，156(4):531-544. DOI：10.1016/j.ajodo.2018.05.023.
[4]
王佳，路晶晶，陈传俊，等.特发性髁突吸收的病因学研究进展[J].齐齐哈尔医学院学报，2020，41(21):2713-2716. DOI：10.3969/j.issn.1002-1256.2020.21.027.
[5]
Iwasa A，Tanaka E. Signs，symptoms，and morphological features of idiopathic condylar resorption in orthodontic patients：A survey-based study[J]. J Clin Med，2022，11(6):1552. DOI：10.3390/jcm11061552.
[6]
牛临生，叶涛，孙东亮，等.低氧诱导因子2α介导雌激素对大鼠髁突软骨细胞效应的研究[J].牙体牙髓牙周病学杂志，2018，28(6):321-326+371. DOI：10.15956/j.cnki.chin.j.conserv.dent.2018.06.002.
[7]
胡博，张丹.对髁突特发性吸收与颞下颌关节盘前移位相关性的探究[J].口腔医学，2020，40(5):471-475. DOI：10.13591/j.cnki.kqyx.2020.05.017.
[8]
徐凡，周青.下颌骨特发性髁突吸收的认识和争议[J].口腔医学研究，2019，35(5):430-432. DOI：10.13701/j.cnki.kqyxyj.2019.05.005.
[9]
Gunson MJ，Arnett GW，Milam SB. Pathophysiology and pharmacologic control of osseous mandibular condylar resorption[J]. J Oral Maxillofac Surg，2012，70(8):1918-1934. DOI：10.1016/j.joms.2011.07.018.
[10]
Kurita H，Kurashina K，Kotani A. Clinical effect of full coverage occlusal splint therapy for specific temporomandibular disorder conditions and symptoms[J]. J Prosthet Dent，1997，78(5):506-510. DOI：10.1016/s0022-3913(97)70067-2.
[11]
Zhang SH，He KX，Lin CJ，et al. Efficacy of occlusal splints in the treatment of temporomandibular disorders：A systematic review of randomized controlled trials[J]. Acta Odontol Scand，2020，78(8):580-589. DOI：10.1080/00016357.2020.1759818.
[12]
Zhou J，Fu Y，Yu L，et al. A novel three-dimensional morphological analysis of idiopathic condylar resorption following stabilisation splint treatment[J]. J Oral Rehabil，2021，48(5):560-567. DOI：10.1111/joor.13154.
[13]
Hoppenreijs TJ，Stoelinga PJ，Grace KL，et al. Long-term evaluation of patients with progressive condylar resorption following orthognathic surgery[J]. Int J Oral Maxillofac Surg，1999，28(6):411-418.
[14]
Merkx MA，Van Damme PA. Condylar resorption after orthognathic surgery. Evaluation of treatment in 8 patients[J]. J Craniomaxillofac Surg，1994，22(1):53-58. DOI：10.1016/s1010-5182(05)80297-5.
[15]
河奈玲，洪越扬，杨筱，等.功能板影响错伴特发性髁突吸收正颌术后稳定性的初步研究[J].中国口腔颌面外科杂志，2018，16(4):338-342. DOI：10.19438/j.cjoms.2018.04.009.
[16]
Kuroda S，Kuroda Y，Tomita Y，et al. Long-term stability of conservative orthodontic treatment in a patient with rheumatoid arthritis and severe condylar resorption[J]. Am J Orthod Dentofacial Orthop，2012，141(3):352-362. DOI：10.1016/j.ajodo.2010.04.036.
[17]
Noh HK，Park HS. Considerations for vertical control with microimplants in a idiopathic condylar resorption patient：A case report[J]. J Orthod，2021，48(2):172-182. DOI：10.1177/14653125211002211.
[18]
El-Sharkawy H，Kantarci A，Deady J，et al. Platelet-rich plasma：Growth factors and pro- and anti-inflammatory properties[J]. J Periodontol，2007，78(4):661-669. DOI：10.1902/jop.2007.060302.
[19]
Pereira RC，Scaranari M，Benelli R，et al. Dual effect of platelet lysate on human articular cartilage：A maintenance of chondrogenic potential and a transient proinflammatory activity followed by an inflammation resolution[J]. Tissue Eng Part A，2013，19(11/12):1476-1488. DOI：10.1089/ten.TEA.2012.0225.
[20]
张丹，刘欢叶，周青.青少年进展期髁突特发性吸收的多学科联合治疗[J].中国实用口腔科杂志，2017，10(6):330-334. DOI：10.19538/j.kq.2017.06.003.
[21]
Stoustrup P，Kristensen KD，Verna C，et al. Intra-articular steroid injection for temporomandibular joint arthritis in juvenile idiopathic arthritis：A systematic review on efficacy and safety[J]. Semin Arthritis Rheum，2013，43(1):63-70. DOI：10.1016/j.semarthrit.2012.11.003
[22]
龙星.颞下颌关节盘前移位与透明质酸注射治疗[J].中华口腔医学杂志，2017，52(3):161-165. DOI：10.3760/cma.j.issn.1002-0098.2017.03.007.
[23]
Wolford LM. Idiopathic condylar resorption of the temporomandibular joint in teenage girls（cheerleaders syndrome）[J]. Proc （Bayl Univ Med Center），2001，14(3):246-252. DOI：10.1080/08998280.2001.11927772.
[24]
Huang YL，Pogrel MA，Kaban LB. Diagnosis and management of condylar resorption[J]. J Oral Maxillofac Surg，1997，55(2):114-119;discussion 119-120. DOI：10.1080/08998280.2001.11927772.
[25]
Mehra P，Wolford LM. Use of the Mitek anchor in temporomandibular joint disc-repositioning surgery[J]. Proc（Bayl Univ Med Cent），2001，14(1):22-26. DOI：10.1080/08998280.2001.11927726.
[26]
Goncalves JR，Wolford LM，Cassano DS，et al. Temporomandibular joint condylar changes following maxillomandibular advancement and articular disc repositioning[J]. J Oral Maxillofac Surg，2013，71(10):1759.e1-1759.e15. DOI：10.1016/j.joms.2013.06.209.
[27]
Wolford LM，Galiano A. Adolescent internal condylar resorption （AICR）of the temporomandibular joint，part 1：A review for diagnosis and treatment considerations[J]. Cranio，2019，37(1):35-44. DOI：10.1080/08869634.2017.1386752.
[28]
Galiano A，Wolford L，Gonçalves J，et al. Adolescent internal condylar resorption（AICR）of the temporomandibular joint can be successfully treated by disc repositioning and orthognathic surgery，part 2：Treatment outcomes[J]. Cranio，2019，37(2):111-120. DOI：10.1080/08869634.2017.1386753.
[29]
张建全，白庆瑞，王毅军，等.经外耳道缝合牵引关节囊治疗颞下颌关节盘前移位临床研究[J].武警后勤学院学报（医学版），2017，26(7):593-595. DOI：10.16548/j.2095-3720.2017.07.012.
[30]
李健，沈达，柳江太，等.双板区切除术治疗颞下颌关节盘不可复性前移位MRI观察[J].口腔医学研究，2014，30(12):1186-1188. DOI：10.13701/j.cnki.kqyxyj.2014.12.019.
[31]
焦子先，王翔宇，张晓虎，等.改良耳屏切口颞下颌关节盘复位固定术手术入路介绍及效果评价[J].中国口腔颌面外科杂志，2018，16(1):41-43. DOI：10.19438/j.cjoms.2018.01.008.
[32]
袁沐，沈佩，杨驰.关节镜下盘复位术对青少年髁突生长影响的回顾性队列研究[J].中华口腔医学杂志，2021，56(2):158-163. DOI：10.3760/cma.j.cn112144-20200718-00427.
[33]
Gubin AV，Borzunov DY，Marchenkova LO，et al. Contribution of G.A. Ilizarov to bone reconstruction：Historical achievements and state of the art[J]. Strategies Trauma Limb Reconstr，2016，11(3):145-152. DOI：10.1007/s11751-016-0261-7.
[34]
McCarthy JG，Schreiber J，Karp N，et al. Lengthening the human mandible by gradual distraction[J]. Plast Reconstr Surg，1992，89(1):1-8;discussion 9-10.
[35]
Alwal AM，Rajasekhar G，Vura N，et al. Evaluation of use of distraction osteogenesis in mandibular retrognathia and its effect on soft and hard tissues and airway[J]. Natl J Maxillofac Surg，2019，10(2):153-160. DOI：10.4103/njms.NJMS_75_18.
[36]
Primrose AC，Broadfoot E，Diner PA，et al. Patients′ responses to distraction osteogenesis：A multi-centre study[J]. Int J Oral Maxillofac Surg，2005，34(3):238-242. DOI：10.1016/j.ijom.2004.08.008.
[37]
Andersen K，Pedersen TK，Hauge EM，et al. Effect of mandibular distraction osteogenesis on the temporomandibular joint：A systematic review of animal experimental studies[J]. Oral Surg Oral Med Oral Pathol Oral Radiol，2014，117(4):407-415. DOI：10.1016/j.oooo.2013.12.405.
[38]
Ow A，Cheung LK. Skeletal stability and complications of bilateral sagittal split osteotomies and mandibular distraction osteogenesis：An evidence-based review[J]. J Oral Maxillofac Surg，2009，67(11):2344-2353. DOI：10.1016/j.joms.2008.07.003.
[39]
Schendel SA，Tulasne JF，Linck DW，et al. Idiopathic condylar resorption and micrognathia：The case for distraction osteogenesis[J]. J Oral Maxillofac Surg，2007，65(8):1610-1616. DOI：10.1016/j.joms.2007.05.001.
[40]
Mercuri LG. Osteoarthritis，osteoarthrosis，and idiopathic condylar resorption[J]. Oral Maxillofac Surg Clin North Am，2008，20(2):169-183,v-vi. DOI：10.1016/j.coms.2007.12.007.
[41]
Troulis MJ，Tayebaty FT，Papadaki M，et al. Condylectomy and costochondral graft reconstruction for treatment of active idiopathic condylar resorption[J]. J Oral Maxillofac Surg，2008，66(1):65-72. DOI：10.1016/j.joms.2007.08.030.
[42]
Vega LG，González-García R，Louis PJ. Reconstruction of acquired temporomandibular joint defects[J]. Oral Maxillofac Surg Clin North Am，2013，25(2):251-269. DOI：10.1016/j.coms.2013.02.008.
[43]
Kiehn CL，DesPrez JD，Converse CF. A new procedure for total temporomandibular joint replacement[J]. Plast Reconstr Surg，1974，53(2):221-226. DOI：10.1097/00006534-197402000-00022.
[44]
Mehra P，Nadershah M，Chigurupati R. Is alloplastic temporomandibular joint reconstruction a viable option in the surgical management of adult patients with idiopathic condylar resorption？[J]. J Oral Maxillofac Surg，2016，74(10):2044-2054. DOI：10.1016/j.joms.2016.04.012.
[45]
Neelapu BC，Kharbanda OP，Sardana HK，et al. Craniofacial and upper airway morphology in adult obstructive sleep apnea patients：A systematic review and meta-analysis of cephalometric studies[J]. Sleep Med Rev，2017，31:79-90. DOI：10.1016/j.smrv.2016.01.007.
[46]
李昊翰，刘华泽，李倩琍，等.双侧人工颞下颌关节置换与双颌手术治疗特发性髁突吸收伴前牙开患者的上气道改变对比研究[J].中华口腔医学杂志，2022，57(7):708-715. DOI：10.3760/cma.j.cn112144-20220401-00150.
[47]
Zhang LZ，Meng SS，He DM，et al. Three-dimensional measurement and cluster analysis for determining the size ranges of Chinese temporomandibular joint replacement prosthesis[J]. Medicine（Baltimore），2016，95(8):e2897. DOI：10.1097/MD.0000000000002897.
[48]
赵界云，何冬梅，邹璐芗，等.两种标准型人工颞下颌关节置换系统与中国人骨性结构的适应性差异比较研究[J].中国实用口腔科杂志，2018，11(6):338-342. DOI：10.19538/j.kq.2018.06.004.
[49]
Chen X，Mao Y，Zheng J，et al. Clinical and radiological outcomes of Chinese customized three-dimensionally printed total temporomandibular joint prostheses：A prospective case series study[J]. J Plast Reconstr Aesthet Surg，2021，74(7):1582-1593. DOI：10.1016/j.bjps.2020.10.108.
[50]
陈旭卓，毛懿，郑吉驷，等.国产个性化金属高分子一体式全颞下颌关节假体的临床初步应用[J].上海交通大学学报（医学版），2019，39(9):1052-1059. DOI：10.3969/j.issn.1674-8115.2019.09.018.
[51]
Mao Y，Chen X，Yu S，et al. Biomechanical analysis of costochondral graft fracture in temporomandibular joint replacement[J]. Sci Rep，2020，10(1):17754. DOI：10.1038/s41598-020-74548-1.
[52]
Mercuri LG. Total joint reconstruction—Autologous or alloplastic[J]. Oral Maxillofac Surg Clin North Am，2006，18(3):399-410,vii. DOI：10.1016/j.coms.2006.03.003.
[53]
Mercuri LG. A rationale for total alloplastic temporomandibular joint reconstruction in the management of idiopathic/progressive condylar resorption[J]. J Oral Maxillofac Surg，2007，65(8):1600-1609. DOI：10.1016/j.joms.2006.03.056.
[54]
贾文远，王宇，李继华.特发性髁突吸收及继发颌骨畸形的研究进展[J].口腔医学，2019，39(2):175-178. DOI：10.13591/j.cnki.kqyx.2019.02.019.
[55]
陈浩哲，祝颂松.利用自体下颌骨重建下颌髁突的研究进展[J].临床口腔医学杂志，2018，34(3):183-186.
[56]
罗恩，何泽.髁突吸收继发牙颌面畸形的治疗[J].华西口腔医学杂志，2020，38(1):1-5. DOI：10.7518/hxkq.2020.01.001.
[57]
Chung CJ，Choi YJ，Kim IS，et al. Total alloplastic temporomandibular joint reconstruction combined with orthodontic treatment in a patient with idiopathic condylar resorption[J]. Am J Orthod Dentofacial Orthop，2011，140(3):404-417. DOI：10.1016/j.ajodo.2009.12.037.
[58]
Rahman F，Celebi AA，Louis PJ，et al. A comprehensive treatment approach for idiopathic condylar resorption and anterior open bite with 3D virtual surgical planning and self-ligated customized lingual appliance[J]. Am J Orthod Dentofacial Orthop，2019，155(4):560-571. DOI：10.1016/j.ajodo.2017.08.032.
[59]
Wang H，Xue C，Luo E，et al. Three-dimensional surgical guide approach to correcting skeletal Class Ⅱ malocclusion with idiopathic condylar resorption[J]. Angle Orthod，2021，91(3):399-415. DOI：10.2319/050320-383.1.
[1] 杨水华, 何桂丹, 覃桂灿, 梁蒙凤, 罗艳合, 李雪芹, 唐娟松. 胎儿孤立性完全型肺静脉异位引流的超声心动图特征及高分辨率血流联合时间-空间相关成像的应用[J]. 中华医学超声杂志（电子版）, 2023, 20(10): 1061-1067.
[2] 蒋佳纯, 王晓冰, 陈培荣, 许世豪. 血清学指标联合常规超声及超声造影评分诊断原发性干燥综合征的临床价值[J]. 中华医学超声杂志（电子版）, 2023, 20(06): 622-630.
[3] 彭旭, 邵永孚, 李铎, 邹瑞, 邢贞明. 结肠肝曲癌的诊断和外科治疗[J]. 中华普外科手术学杂志(电子版), 2024, 18(01): 108-110.
[4] 李智铭, 郭晨明, 庄晓晨, 候雪琴, 高军喜. 早期乳腺癌超声造影定性及定量指标的对比研究[J]. 中华普外科手术学杂志(电子版), 2023, 17(06): 639-643.
[5] 杨雪, 张伟, 尚培中, 宋创业, 尚丹丹, 张蔚. 胆囊十二指肠瘘结石经瘘口排出后自愈一例报道[J]. 中华普外科手术学杂志(电子版), 2023, 17(06): 707-708.
[6] 李晓阳, 刘柏隆, 周祥福. 大数据及人工智能对女性盆底功能障碍性疾病的诊断及风险预测[J]. 中华腔镜泌尿外科杂志(电子版), 2023, 17(06): 549-552.
[7] 姜明, 罗锐, 龙成超. 闭孔疝的诊断与治疗：10年73例患者诊疗经验总结[J]. 中华疝和腹壁外科杂志(电子版), 2023, 17(06): 706-710.
[8] 许丁伟, 马江云, 李新成, 黄洁. Alagille综合征疑诊为先天性胆道闭锁一例并文献复习[J]. 中华肝脏外科手术学电子杂志, 2023, 12(06): 681-687.
[9] 蓝冰, 王怀明, 王辉, 马波. 局部晚期结肠癌膀胱浸润的研究进展[J]. 中华结直肠疾病电子杂志, 2023, 12(06): 505-511.
[10] 杨红杰, 张智春, 孙轶. 直肠癌淋巴结转移诊断研究进展[J]. 中华结直肠疾病电子杂志, 2023, 12(06): 512-518.
[11] 吴凤芸, 滕鑫, 刘连娟. 高帧频超声造影与增强磁共振对不同直径原发性高分化肝细胞癌的诊断价值[J]. 中华消化病与影像杂志(电子版), 2023, 13(06): 404-408.
[12] 孙欣欣, 刘军, 陈超伍, 孙超. 超声内镜引导细针穿刺抽吸术在胰腺占位性病变中的应用[J]. 中华消化病与影像杂志(电子版), 2023, 13(06): 418-421.
[13] 袁媛, 赵良平, 刘智慧, 张丽萍, 谭丽梅, 閤梦琴. 子宫内膜癌组织中miR-25-3p、PTEN的表达及与病理参数的关系[J]. 中华临床医师杂志(电子版), 2023, 17(9): 1016-1020.
[14] 李田, 徐洪, 刘和亮. 尘肺病的相关研究进展[J]. 中华临床医师杂志(电子版), 2023, 17(08): 900-905.
[15] 周婷, 孙培培, 张二明, 安欣华, 向平超. 北京市石景山区40岁及以上居民慢性阻塞性肺疾病诊断现状调查[J]. 中华临床医师杂志(电子版), 2023, 17(07): 790-797.
阅读次数
全文


摘要

版权所有 中华医学会 中华医学电子音像出版社有限责任公司  京ICP备14006079号-1  网络出版服务许可证：(署)网出证(京)字第075号