林彥宏醫師 顳顎關節手術 正顎手術 顴骨植牙

很開心我們的文章上個月被JDS publish 了。這篇文章裡面我們收集了2023~2024年因顳顎關節內部紊亂導致張口受限而接受微創顳顎關節盤復位縫合手術(arthroscopic discopexy)的46位患者。我們針對張口度與疼痛改善的臨床成效進行了評估。有趣的是，術前張口受限越嚴重的患者反而獲得了最顯著的功能改善。舉例來說，術前張口度在20 至 24 mm的患者，術後張口度平均增加了 11 mm，證明了這樣的微創手術即使在嚴重的張口受限病例中， 也能帶來顯著且可靠的改善。 I'm very happy to share that our article was published in the Journal of Dental Sciences (JDS) last month! In this study, we evaluated 46 patients who underwent arthroscopic discopexy for TMJ internal derangement with limited mouth opening between 2023 and 2024. Interestingly, patients with more severe preoperative mouth-opening limitations achieved the greatest functional improvement. Those with an initial mouth opening of 20–24 mm gained an average of 11 mm postoperatively! These findings highlight the potential of arthroscopic discopexy to provide significant functional improvement, even in patients with severe mouth-opening limitations.   https://pubmed.ncbi.nlm.nih.gov/42923661/

今天早上很開心受邀到顱顏中心與大家分享我們這幾年在 Condylar Hyperplasia合併顏面歪斜患者運用導航輔助手術的經驗與心得。特別感謝顱顏中心主任周邦昀教授及陳盈安醫師的邀請，謝謝林政輝醫師的主持以及陳昱瑞主委和羅綸州教授的鼓勵，很高興有這樣的機會與大家交流！ It was a great pleasure to be invited to the Craniofacial Center this morning to share our experience over the past few years with navigation-guided surgery for patients with condylar hyperplasia and facial asymmetry. My sincere thanks to all the wonderful colleagues at the Craniofacial Center for your support and encouragement. It was a pleasure to have this opportunity to exchange ideas and share our clinical experience with everyone!

第 28 屆歐洲顱顏外科學會年會（EACMFS 2026）於希臘雅典盛大舉行。這是我第一次參與 EACMFS，能踏上這座歷史悠久的古城進行口頭報告（Oral Presentation），對我而言意義非凡。除了分享我們團隊的研究成果，其餘時間我也全程投入，聆聽了多位國際大術大師的精彩演講。無論是前沿的臨床思維還是創新的手術技術，都讓我收穫匪淺、備受啟發。在這會議期間，不僅與好久不見的老朋友歡喜重聚，也認識了許多來自世界各地、理念相同的優秀新朋友。感謝這趟充實而難忘的雅典之旅，帶著滿滿的新知與回憶，繼續在臨床與學術的路上邁進！ It was a privilege to attend my very first EACMFS(European Association for Cranio-Maxillo-Facial Surgery) Congress in the breathtaking city of Athens, Greece. Beyond having the opportunity to deliver an oral presentation on our latest research, I spent much of my time engaging in inspiring keynote sessions led by world-renowned experts. Learning about groundbreaking clinical insights and advanced surgical techniques provided me with invaluable perspectives to bring back to my practice. Beyond the academic exchanges, the highlight of this trip was reunion and connection—reconnecting with old colleagues and building new friendships with peers from around the globe. A truly enriching and memorable journey filled with learning, n...

這禮拜五開記者會跟大家分享我們這幾年做的微創內視鏡顳顎關節盤復位縫合手術的成效，也是一個蠻難得的人生經驗，第一次面對鏡頭。非常感謝來訪的記者們細心的整理，把這個手術技術的治療效果分享出去給更多民眾知道。 https://www.youtube.com/watch?v=zDst9gv18zU https://news.tvbs.com.tw/health/4003555 https://news.owlting.com/articles/1433835 https://www.merit-times.com/news/523925 https://health.ettoday.net/news/3214989 https://health.tvbs.com.tw/medical/365038 https://www.cmmedia.com.tw/home/articles/62220 https://www.cdns.com.tw/articles/1440943 https://www.merit-times.com/news/523925 https://www.storm.mg/article/11154837 https://www.ttvc.com.tw/a-56105.html https://www.cdns.com.tw/articles/1440943 https://www.chinatimes.com/realtimenews/20260807003275-260418 https://udn.com/news/story/7266/9677672 https://www.i-media.tw/Article/Detail/49061 https://www.i-meihua.com/Article/Detail/53945 https://tw.news.yahoo.com/share/7a93ddb6-5fa0-3044-bb29-ac365139bb85 https://www.nownews.com/news/6863998 https://newnet.tw/Newsletter/Comment.aspx?Iinfo=5&iNumber=54729 https://money.udn.com/money/story/12232...

非常感謝中華民國牙醫師公會全國聯合會的邀請，今天到圓山飯店演講顳顎關節的手術治療，會後也跟許多牙醫界的前輩分享自己這幾年的心得點滴。 Thank you to the Taiwan Dental Association for the kind invitation to speak at the Grand Hotel Taipei today on the surgical management of temporomandibular joint (TMJ) disorders. It was a great honor to share my experience in TMJ surgery and to exchange ideas with so many respected colleagues and senior dentists. Thank you all for the engaging discussions and warm encouragement.

很榮幸這個週末受邀參與顱顏學會年會，與魏敏佳醫師一同分享這幾年在 All-on-X 全口重建治療上的臨床經驗與優化策略。今年適逢顱顏學會成立 30 週年，一路走來，真的非常感謝顱顏學會提供豐富的學習平台，讓我從前輩與同儕身上獲得許多寶貴的知識與臨床經驗，也特別感謝歷任理事長及主委一路以來的鼓勵與支持，讓自己持續成長。 It was a great honor to be invited to speak at the TCPA Annual Meeting this weekend, where Dr. Wei and I shared our clinical experience and optimization strategies for All-on-X full-arch rehabilitation. This year marks the TCPA ’s 30th anniversary. I am truly grateful for the invaluable knowledge, mentorship, and friendships I have gained through this wonderful platform.

I am delighted to share that our team's latest research on TMJ arthroscopic discopexy has been officially accepted for publication in the prestigious journal, Journal of Cranio-Maxillofacial Surgery . Our study's  multivariate analysis  indicated age (odds ratio [OR]: 1.041; p =0.010), absence of spontaneous disc reduction (OR: 3.164; p =0.009), and rotational displacement (OR: 1.901; p =0.038) as independent predictors of persistent disc displacement . Postoperative disc elongation was strongly and negatively associated with preoperative disc length (r =− 0.483; p < 0.001) and positively associated with displacement distance (r =0.305; p <0.001). https://www.sciencedirect.com/science/article/abs/pii/S1010518226000648?via%3Dihub 很高興與大家分享，我們團隊關於顳顎關節微創手術的研究成果，正式被國際知名期刊《Journal of Cranio-Maxillo-Facial Surgery》接受發表！ 對於許多飽受顳顎關節疼痛、卡頓、張口受限所苦的病友，微創內視鏡顳顎關節盤復位縫合手術（TMJ Arthroscopic Discopexy） 提供了一個復原快且有效的治療選擇。但醫師與病患最關心的問題往往是：「手術後，位移的關節盤真的能乖乖待在正確的位置嗎？」 我們的研究團隊回顧分析了 193 個接...