A1M: To investigate the effect of temporomandibular joint position and re-molding process and the signs and symptoms of temporomandibular joint inpatients undergoing orthognathic surgery.METHODS: The standardSchuller' s position radiographs were used to examine the position temporo-mandibular joint form and condylar position change of 32 case after orthognathic surgery Helkimo index was used to analyze the anamnestic and clin-ical data. RESULTS: Changes of condylar position had happened after theoperation, but within one year the conlylar had resumed the same position asthe preoperative. The change of temporomandibular joint symptoms and signsafter orthognathic surgery was not significant. CONCLUSION: The effect oforthognathic surgery on the condylar position and TMJ form is not signifi-cant, and most of the changes are within the normal adaptability of tem-poromandibular joint.

目的:探讨综合医院口腔门诊规范化运作和管理模式.方法:通过口腔门诊完善的规章制度及操作流程中的各种细节,结合我院开展的"迎接等级医院评审"活动,科内控感小组定期进行自查,并提出相应的整改措施,确保各种器械的严格规范消毒和管理.结果:合理的布局、先进的消毒设备、工作流程及质量标准各种监控,保证了无菌物品的灭菌质量.结论:将细节管理应用于综合口腔门诊的规范化操作,确保医疗、护理质量和患者就医安全.