■随着TMJ手术切口的发展,面部畸形和足够的手术通道减少。即使传统的耳前和耳内切口提供了很大的暴露,它们愈合了明显的疤痕;相比之下,不敏感变得不可见。
■从手术暴露角度比较和评估两种TMJ手术方法,VII神经损伤和术后美学。
■将60例TMJ手术例随机分为两组:A-30切口组和B-30硬膜外切口,并评估从切口到暴露的时间,手术和术后神经损伤的充足通道,疤痕,软骨损伤/坏死和耳畸形。所有患者均获随访,平均6个月。
■通过切口和耳内切口的手术暴露时间平均为12和10分钟,分别。在无粘性中,疤痕在40天后和耳内切口中变得看不见,35天后,疤痕会变成一条细而可见的线。无增生性瘢痕病例,瘢痕疙瘩形成,两组软骨损伤/坏死/耳部畸形。在平均3个月和3.4个月后改善的33%的Insission和40%的耳内病例中,可见VII神经的瞬时颞支无力。分别。Likert的患者满意度平均得分为4分和2分,疤痕形成的POSAS得分为1.5分和3分,分别。
■不渗透可以提供足够的暴露,避免所有相关的解剖结构,除了引起短暂性回缩神经失用症,通过将疤痕隐藏在耳廓的解剖褶皱中,以及出色的美学效果。虽然,耳内切口提供了更好的手术时间管理和等效的手术暴露,通过所有其他参数,Invision被证明是TMJ手术的更好选择。
UNASSIGNED: As TMJ surgery incisions have evolved, there has been a decrease in facial deformity and adequate surgical access. Even though the traditional preauricular and endaural incisions offer great exposure, they heal with a noticeable scar; in contrast, the Inviscision becomes invisible.
UNASSIGNED: To compare and evaluate both the approaches for TMJ surgeries in terms of surgical exposure, VII nerve injury and postoperative aesthetics.
UNASSIGNED: 60 TMJ surgery cases were randomly divided into two groups: Group A-30 Inviscision and Group B-30 Endaural incision and assessed for the amount of time from the incision to the exposure, ample access for surgery and postoperative nerve injury, scarring, cartilage injury/necrosis and ear deformity. All the patients were followed up for an average of six months.
UNASSIGNED: Surgical exposure time was average 12 and 10 min via Inviscision and endaural incision, respectively. In Inviscision, scar becomes invisible after 40 days and in endaural incision, scar becomes a thin but visible line after 35 days. No cases of hypertrophic scar, keloid formation, cartilage injury/necrosis/ear deformity in either group. Transient temporal branch of VII nerve weakness seen in 33% of Inviscision and 40% of endaural cases which improved after average 3 and 3.4 months, respectively. Likert\'s patient satisfaction score was average 4 and 2, and POSAS score for scarring was 1.5 and 3, in Inviscision and endaural incision, respectively.
UNASSIGNED: Inviscision gives adequate exposure, avoids all related anatomic structures, other than causing transient retraction neuropraxia, along with outstanding aesthetic outcomes by hiding the scar in the anatomical folds of the ear auricle. Although, endaural incision provides better surgical time management and equivalent surgical exposure, Inviscision proves to be a better alternative for TMJ surgeries through all other parameters.