“我中午吃了两大碗排骨和三个馒头，还想再吃，我连襟不让了，说以后有的是机会。”15日下午2点多，记者在山东大学第二医院口腔科见到44岁的李加利时，头缠纱布的他刚说了几句话，就笑得合不拢嘴。

"At noon I eat two bowls of ribs and three steamed bread,Wanted to eat,I won't let the husbands of sisters,Say later have a plenty of opportunity."15 more than 2 PM,Reporter in the shandong university second hospital department of stomatology see 44 years old when the LiJiaLi,Wore gauze he just said a few words,Is grinning from ear to ear.

　　27年前，年仅17岁的他患上了中耳炎，化脓后引发颞下颌关节慢性感染，最后造成关节内骨性粘连，从此他的嘴巴就如同被固定住，再也无法张开……

27 years ago,Only 17 years old, he has suffered from otitis media,After maturation cause TMJ chronic infection,The last cause intra-articular osseous adhesion,From then on his mouth as was fixed to live,Can't open...

一顿饭要想吃饱需要三个小时 在外打工从来不吃早饭 A meal to eat full need three hours working outside never eat breakfast

　　济宁泗水，李加利的老家。27年前在这里发生的一场可怕的疾病，李加利仍历历在目。

Jining surabaya,LiJiaLi hometown.27 years ago in here in a terrible disease,LiJiaLi still lives in the memory.

　　那年李加利17岁，还是一个风华正茂的小伙子，因为目前已经无从考究的原因，他患上了中耳炎。李加利记得，当时患病的是右耳。

That year LiJiaLi 17 years old,Or a bloom of youth man,Because has the reason of ancient Rome,He has suffered from otitis media.LiJiaLi remember,When sick is the right ear.

　　当年的条件不比今天，何况是鲁西南的贫困农村。李加利患病后并没有进行及时积极的治疗，渐渐地中耳炎严重了，开始化脓，脓液扩散到了颞下颌关节，造成了关节内的纤维性直至骨性粘连。李加利张嘴变得越来越难，最后基本无法张口，进食变得愈加困难。

The condition than today,How much more is the southwest poor rural.LiJiaLi fell ill and no positive treatment in time,Gradually otitis media serious,Began to gather,The pus spread to TMJ,Caused the intra-articular fibrous until osseous adhesion.LiJiaLi mouth becomes more and more difficult,Finally the basic not mouth,Eating becomes more and more difficult.

　　“我近30年没张开过嘴了，闺女在一边啃肉骨头，我就只能喝点骨头汤。”李加利告诉记者，别看他长得还算壮实，但吃饭的苦楚没几个人真正了解，“人家不知道，我吃一顿饭要想吃饱的话，得需要三个小时”。

"I nearly 30 years have not opened the mouth,The girl on the other side eating meat bones,I can only drink bone soup."LiJiaLi told reporters,Although he looks fairly robust,But to eat the pain of not a few people really understand,"People don't know,I eat a meal to eat enough words,Will take three hours".

　　那些在外打工的日子里，李加利每天早上都不吃饭，“很早就开工了，来不及吃”。到了中午，工友们都狼吞虎咽般吃完，可李加利只能把馒头或煎饼撕成小碎片，要么就拧成小细条，然后用水冲下去。由于吃饭太慢，周围的工友不时会嘲笑他。

Those working outside day,LiJiaLi did not eat every morning,"The start very early,Too late to eat".By noon,Co-workers are like the Wolf eat,Can LiJiaLi can only put the steamed bread or pancakes tear into small pieces,Or twist into small slim,Then the water ran down.Due to eat slowly,The office boy around sometimes laugh at him.

张不开嘴因为关节内骨性粘连 医生为他再造假关节 Zhang doesn't open mouth for intra-articular osseous adhesion doctor for him to concoct joint

　　“以前家里穷，没钱治，这两年有些积蓄了，再加上亲戚们劝，我就来医院了。”李加利说。

"Before the home be poor,No money to cure,The two years some savings,Plus relatives advised,I came to the hospital."LiJiaLi said.

　　情况比李加利想象的还要严重。山东大学第二医院口腔科主任袁奎封说，由于时间过长，李加利的髁突已经与关节盘粘连，无法动弹，医学上称颞下颌关节骨性强直。

LiJiaLi even imagine than serious.The second hospital of shandong university, director of the department of stomatology YuanKui seal said,Because time is too long,The LiJiaLi condylar has and joint disk adhesion,Can't move,The medical term temporomandibular joint osseous rigidity.

　　之所以造成近30年来无法张嘴，袁奎封认为和李加利年轻时患过中耳炎有关。因为在解剖结构上，中耳与颞下颌关节相邻，当患化脓性中耳炎时，脓液可直接扩散到关节。由于一侧或两侧关节内发生病变，最后造成关节内的纤维性及骨性粘连。

The reason caused nearly 30 years can't mouth,YuanKui seal think and LiJiaLi young when otitis media, relevant.Because in anatomical structure,The middle ear and TMJ adjacent,When a when suppurative otitis media,Purulent fluid can direct spread to joint.Due to one side or both sides in the joint disease,The last cause intra-articular fibrous and osseous adhesion.

　　“李加利的下颌骨和颅骨长在了一起，形成了骨球，需要再造关节，并补充软组织。”袁奎封说，治疗关节内强直的手术有髁突切除术及颞下颌关节成形术。髁突切除术适用于纤维性强直的病例；颞下颌关节成形术又称假关节形成术，适用于骨性强直病例。

"LiJiaLi of mandible and skull long together,Formed bone ball,Need reconstruction joint,Adding soft tissue."YuanKui seal said,Intra-articular stiffness of surgery have condylar resection and TMJ angioplasty.Condylar excision is indicated in cases of fibrous rigidity;TMJ angioplasty and say false joint formation technique,Suitable for osseous tetanic cases.

　　9日下午，李加利进行了颞下颌关节成形术和带蒂颞肌筋膜瓣转位术。袁奎封于李加利的髁突颈部截开，将髁突及关节盘摘除，修整骨断面外形。筋膜瓣填充关节间隙后，重新形成了关节头。

9 afternoon,The LiJiaLi temporomandibular arthroplasty and pedicle temporal myofascial flap transposition operation.YuanKui seal in the LiJiaLi condylar neck cut open,Will condylar and joint disc excision,Finishing bone section shape.Fascia flap fill after joint space,To form the joint head.

　　“你们知道吗？我康复后第一件事情就是跑出去吃东西，在一家包子铺吃了两笼肉包子，一共16个！”李加利说起康复后自己一口一口吃饭的感受时笑个不停，“香，感觉特别香。”(记者 高明兴)

"Do you know?I rehabilitation after the first thing is to run out to eat,In a BaoZiPu ate two steamed meat bun,A total of 16!"LiJiaLi about rehabilitation after they eat a bite of feel when laughing,"sweet,Feel very sweet."(Reporter GaoMingXing)