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Reconstru??o aloplástica do c?ndilo mandibular: relato de caso

机译:下颌索的同种异体重建:病例报告

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Among the components present in the temporomandibular joint(TMJ), the fossa and mandible condyle should be highlighted. Thisjoint is responsible for masticatory jaw movements and phonetic, aswell as proprioception and balance of the stomatognathic system.Regarding to fractures in the maxillofacial region, condylar fracturesstand out due to its high prevalence. The main signs and symptomsassociated with those fractures are malocclusion, crepitation, limitedmouth opening and joint pain. The condylar fractures by frearmprojectile stand out in the current scenario. Due to the high speedand impact of the projectile against the joint structure, condylarfractures by PAF are usually diagnosed as comminuted fractures.Thus, conservative treatment in those cases is not recommendedbecause the structural reduction is diffcult. The total reconstructionof the TMJ emerges such as indicated in those cases and it consists ina prosthetic joint replacement by alloplastic materials. Therefore, theaim of this present study is to report a case of a patient comminutedfracture victim of mandibular condyle caused by a frearmprojectile treated for TMJ total alloplastic reconstruction.
机译:在颞下颌关节(TMJ)中存在的组件中,应强调窝和下颌骨con。该关节负责咀嚼下颌的运动和语音,以及造口系统的本体感受和平衡。对于上颌面区域的骨折,con突骨折因其高发而突出。与这些骨折相关的主要体征和症状是咬合不良,结扎,有限的嘴巴张开和关节痛。在目前的情况下,由fr状弹丸引起的con突骨折尤为突出。由于弹丸的高速度和冲击力对关节结构的影响,PAF引起的fract突骨折通常被诊断为粉碎性骨折。因此,由于结构复位困难,不建议保守治疗。如在那些情况下所指示的,出现了TMJ的总重建,并且其包括用同种异体材料替换假关节。因此,本研究的目的是报告一例患者下颌con粉碎性骨折的患者,该患者由治疗TMJ完全异体重建的后弹丸引起。

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