Post-treatment management 1. Wound care 2. Pain management 3. Diet and oral hygiene(卫生) management 4. Occlusal management 5. Physical therapy 6. Appropriate diagnostic records to determine progression of the disease 7. Patient reassessment 8. Instruction for post-treatment care and follow-up
6 Post-treatment management 1. Wound care 2. Pain management 3. Diet and oral hygiene(卫生) management 4. Occlusal management 5. Physical therapy 6. Appropriate diagnostic records to determine progression of the disease 7. Patient reassessment 8. Instruction for post-treatment care and follow-up
Management fibrous, fibro-osseous, or osseous ankylosis Arthroscopic surgery(early stage of fibrous ankylosis) Open surgery(most) Arthroplasty Condylectomy: partical or total and +/-replacement (eg, total joint prosthesis, costochondral graft) Gap arthroplasty +/-autogenous or alloplastic or allogeneic interposition(my favor: temporal fascia or auricular cartilage Coronoidectomy or cononoidotomy(often) Orthognathic surgery for residual maxillofacial deformity pseudoan kylosis Osteotomy of zygoma or zygomatic arch Myotomy Coronoidectomy or cononoidotomy Scar revision(eg, intraoral and /or extraoral (adjacent tissue transfer
7 Arthroscopic surgery (early stage of fibrous ankylosis) Open surgery (most) • Arthroplasty • Condylectomy: partical or total and +/- replacement (eg, total joint prosthesis, costochondral graft) • Gap arthroplasty +/- autogenous or alloplastic or allogeneic interposition (my favor: temporal fascia or auricular cartilage) • Coronoidectomy or cononoidotomy (often) • Orthognathic surgery for residual maxillofacial deformity pseudoankylosis • Osteotomy of zygoma or zygomatic arch • Myotomy • Coronoidectomy or cononoidotomy • Scar revision (eg, intraoral and /or extraoral) (adjacent tissue transfer) Management fibrous, fibro-osseous, or osseous ankylosis
Diagnoses Arthroscopic surgery Different Kinds of Adhesions
8 Diagnoses Arthroscopic surgery
reatment ad E IM Preoperation A E postoperation
9 Treatment
CASE REPORT F 33 adhesion between eminence disc PREOPERATION POSTOPERATION
10 Adhesion between eminence & disc CASE REPORT F 33 PREOPERATION POSTOPERATION