A protocol for management of temporomandibular joint ankylosis

Kaban, Leonard B.; Perrott, David H.; Fisher, Keith

doi:10.1016/0278-2391(90)90529-b

Cited by 393 publications

(331 citation statements)

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“…This study showed that the composite temporalis pedicle flap is a good autogenous tissue for the reconstruction of the TMJ. Kaban et al [17] recommended a management protocol for TMJ ankylosis consisting of aggressive resection, ipsilateral coronoidectomy, contralateral coronoidectomy when necessary, lining of the TMJ with temporalis fascia or cartilage, reconstruction of the ramus with a costochondral graft, rigid fixation, and early mobilization and aggressive physiotherapy. The protocol was retrospectively evaluated in the first 14 patients (18 TMJs) treated and followed-up postoperatively for atleast 1 year.…”

Section: Discussionmentioning

confidence: 99%

A Retrospective Study of Temporalis Muscle and Fascia Flap in Treatment of TMJ Ankylosis

Guruprasad

Chauhan

Cariappa

2010

J. Maxillofac. Oral Surg.

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Background This study sought to determine the efficacy of interpositional arthroplasty with temporalis muscle and fascia flap in the treatment of unilateral temporomandibular joint (TMJ) ankylosis in adults. Methods This retrospective study of nine cases evaluated the postoperative results of interpositional arthroplasty on temporalis muscle and fascia flap in adults. The operative protocol for unilateral TMJ ankylosis entailed (1) resection of ankylotic mass, (2) intraoral ipsilateral coronoidectomy, (3) contralateral coronoidectomy when necessary, (4) interpositional tissue transfer to the TMJ with temporalis muscle, fascia flap, and (5) early mobilization, aggressive physiotherapy. Results The study evaluated nine patients with follow-up checks from 13 to 31 months (mean 18.3 months). Patients had a preoperative maximal interincisal opening of 9-19 mm (mean 11.7 mm). During the last follow-up observation after surgery, the patients had a maximal interincisal opening of 35-40 mm (mean 38.3 mm).The results of this protocol were encouraging, the functional results of interpositional arthroplasty on temporalis muscle and fascia flap were also satisfactory. Conclusion The findings of this study support the use of temporalis muscle and fascia flap in adult patients with unilateral TMJ ankylosis. Early postoperative initial exercise, physiotherapy and strict follow-up play an important role in preventing postoperative recurrences.

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Section: Discussionmentioning

confidence: 99%

A Retrospective Study of Temporalis Muscle and Fascia Flap in Treatment of TMJ Ankylosis

Guruprasad

Chauhan

Cariappa

2010

J. Maxillofac. Oral Surg.

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“…Therefore, treatment should be initiated as soon as the condition is recognized, with the main objective of re-establishing joint function and harmonious jaw function. 4,5 Various autogenous grafts, including the metatarsus, 6 clavicle, 7 and iliac crest, 8 as well as various alloplastic materials, 9 have been used to reconstruct the TMJ. However, the free CCG has gained popularity in the past 2 decades 4.…”

Section: Discussionmentioning

confidence: 99%

“…The first sign of a significant problem may be increasing imitation of jaw opening, usually noticed by the dentist. 4 Pain is uncommon.…”

Section: Introductionmentioning

confidence: 99%

“…We present a case report of TMJ ankylosis diagnosed and successfully treated in the early teen years. 3,4 Report of the case: A 12-year-old boy was reported to a private dental practices with complain of restricted mouth opening. At initial presentation, his height was 138 cm (smaller than normal for his age) and his weight 27.1 kg (below the fifth percentile for his age group).…”

Section: Introductionmentioning

confidence: 99%

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Management of Juvenile Temporo-mandibular Joint Ankylosis by Gap Arthoplasty

Mishu

Hasan

Hossain

et al. 2014

Update Dent. Coll. j

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Bony ankylosis of the temporomandibular joint (TMJ) in a male patient was not diagnosed until the patient reached his early teens, at which time the condition was treated with a costochondral graft. At the time of treatment, there was an expectation that further orthognathic surgery would be required to correct the skeletal deformity. However, with the release of the ankylosis and growth of the costochondral graft, a good functional and esthetic result was achieved without further surgery. It is important that family dentists be aware of the clinical signs and symptoms of TMJ ankylosis, to allow early diagnosis and treatment.

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“…Operative protocols for TMJa can be one-stage or multistage, depending on the severity and complexity of the disease. The basic principles are resection of the ankylotic lesion, coronoidectomy, and early mobilization and aggressive postoperative physiotherapy (Kaban et al, 1990;Elgazzar et al, 2010;Guven, 2004).…”

Section: Introductionmentioning

confidence: 99%