兔子髁突囊内骨折后椎间盘状态和髁突再生的变化

IF 2.9 3区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Oral diseases Pub Date : 2024-12-31 DOI:10.1111/odi.15238
Siwei Xu, Kaixin Yan, Linli Jiang, Xinnan Chang, Hui Li, Lei Liu
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引用次数: 0

摘要

背景:髁突囊内骨折(ICF)的治疗方法仍存在争议。颞下颌关节(TMJ)椎间盘是治疗ICF的关键因素。本研究旨在探讨兔模型ICF后TMJ椎间盘状态和髁突软骨再生的变化,以协助制定治疗方案。方法:对青少年和成年兔进行左侧颞下颌关节手术:(1)ICF合并前椎间盘移位,(2)ICF合并ICF节段和椎间盘切除。这些动物分别在手术后第4周、第8周和第12周被安乐死。收集左颞下颌关节进行组织学、SOX 9免疫组化和显微ct分析。结果:36例颞下颌关节(100%)均在术后4、8、12周出现前盘移位。所有36个关节均有髁突软骨再生。值得注意的是,在青少年组和成人组中,在椎间盘和ICF骨折段切除后4周,髁突软骨部分再生。结论:青少年和成年兔在ICF后椎间盘前移位,在没有治疗干预的情况下表现出持续的椎间盘移位。颞下颌关节盘及其相关的附着体对ICF后髁突软骨再生至关重要。
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Changes in Disc Status and Condylar Regeneration After Intracapsular Condylar Fractures in Rabbits.

Background: The treatment procedure for intracapsular condylar fractures (ICF) is still being debated. The temporomandibular joint (TMJ) disc is a key factor for treating ICF. The study aims to investigate the changes in TMJ disc status and condylar cartilage regeneration following ICF in a rabbit model, to assist in planning treatment.

Methods: Adolescent and adult rabbits received surgery on the left TMJs: (1) ICF with anterior disc displacement, (2) ICF with the removal of the ICF segment and disc. The animals were euthanized immediately, and at 4, 8, and 12 weeks after surgery. Their left TMJs were collected for histological, SOX 9 immunohistochemical, and micro-CT analyses.

Results: All 36 TMJs (100%) showed anterior disc displacement at 4, 8, and 12 weeks after surgery. Also, condylar cartilage regeneration was observed in all 36 joints. Notably, partial regeneration of condylar cartilage was noted at 4 weeks after removal of the disc and ICF fractured segment in both adolescent and adult groups.

Conclusion: Anterior displaced disc after ICF in adolescent and adult rabbits exhibited sustained disc displacement without therapeutic intervention. TMJ disc and associated attachment are crucial in the condylar cartilage regeneration after ICF.

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来源期刊
Oral diseases
Oral diseases 医学-牙科与口腔外科
CiteScore
7.60
自引率
5.30%
发文量
325
审稿时长
4-8 weeks
期刊介绍: Oral Diseases is a multidisciplinary and international journal with a focus on head and neck disorders, edited by leaders in the field, Professor Giovanni Lodi (Editor-in-Chief, Milan, Italy), Professor Stefano Petti (Deputy Editor, Rome, Italy) and Associate Professor Gulshan Sunavala-Dossabhoy (Deputy Editor, Shreveport, LA, USA). The journal is pre-eminent in oral medicine. Oral Diseases specifically strives to link often-isolated areas of dentistry and medicine through broad-based scholarship that includes well-designed and controlled clinical research, analytical epidemiology, and the translation of basic science in pre-clinical studies. The journal typically publishes articles relevant to many related medical specialties including especially dermatology, gastroenterology, hematology, immunology, infectious diseases, neuropsychiatry, oncology and otolaryngology. The essential requirement is that all submitted research is hypothesis-driven, with significant positive and negative results both welcomed. Equal publication emphasis is placed on etiology, pathogenesis, diagnosis, prevention and treatment.
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