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- W2386010410 abstract "Objective 30 cases of TMJ ankylosis with OSAS, unilateral ankylosis in 18, bilateral ankylosis in 9 and all with micrognathia. All patients have severe retrognathia with slight maxillary retrognathia, and their apnea index (AI) was higher than 5 as well as with oxygen hyposaturation during sleep. Methods All patients were examinated and evaluated by cephalometric analysis and polysomnography. By means of cephalometric analysis and computeraid operative simulation, the best surgical proposal were gained. Results 15 cases were treated by TMJ reconstruction、 Jaw advancement by transplanted with bone graft and ramus sagital osteotomy, and genioplasty, 3 of the cases treated secondarily by Le fort I osteotomy. 6 cases underwent bilateral TMJ reconstruction, bone graft and genioplasty in order to advance the jaw. Bimaxillary surgical procedure was completed in 3 cases, and distraction osteogensis (DO) and TMJ reconstruction in 6 cases. Al patients gained good appearance, 29 patients can open their mouth larger than 3 cm, and one case had recurrent TMJ ankylosis. 29 cases'AI5 and oxygen saturation degree 90% (included the patient that had recurrent TMJ ankylosis). One patient's AI5, his OSAS was not relieved. Conclusion In treatment of the patients that have TMJ ankylosis with OSAS, the relief of TMJ ankylosis、rehabilitation of the maxillofacial deformities and OSAS must be all considered. It is useful to the patients of TMJ ankylosis with OSAS that surgical procedure of TMJ reconstruction and DO combining with orthognathic surgical procedure." @default.
- W2386010410 created "2016-06-24" @default.
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- W2386010410 date "2000-01-01" @default.
- W2386010410 modified "2023-09-23" @default.
- W2386010410 title "SURGICAL TREATMENT ON TMJ ANKYLOSIS WITH OSAS" @default.
- W2386010410 hasPublicationYear "2000" @default.
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