Clinical experience in managing temporomandibular joint ankylosis: five-year appraisal in a Nigerian subpopulation

Abstract

ObjectivesTemporomandibular joint ankylosis (TMJA) is a joint pathology caused by bony and/or fibrous adhesion of the joint apparatus, resulting in partial or total loss of function.Materials and MethodsThis is a retrospective study conducted between 2012 and 2016 in the northwest region of Nigeria. The data retrieved includes gender, age, etiology of ankylosis, duration of ankylosis, laterality of ankylosis, type of imaging technique, type of airway management, types of incision, surgical procedure, mouth opening, interpositional materials used, and complications. Results were presented as simple frequencies and descriptive statistics.ResultsThirty-six patients with TMJA were evaluated during the study period. There were 21 males (58.3%) and 15 females (41.7%), yielding a male:female ratio of 1.4:1. The patients' age ranged from 5 to 33 years with mean±standard deviation (13.8±6.6 years). Thirty-five cases (97.2%) were determined to be true/bony ankylosis, while only 1 case (2.8%) was false/fibrous ankylosis. Most of the TMJA cases (16 cases, 44.4%) were secondary to a fall. In our series, the most commonly utilized incision was the Bramley-Al-Kayat (15 cases, 41.7%). The mostly commonly performed procedures were condylectomies and upper ramus ostectomies (12 cases each, 33.3%), while the most commonly used interpositional material was temporalis fascia (14 cases, 38.9%). The complications that developed included 4 cases (11.1%) of severe hemorrhage, 1 case (2.8%) of facial nerve palsy, and 1 case (2.8%) of re-ankylosis.ConclusionPlain radiographs, with their shortcomings, still have significant roles in investigating TMJA. Aggressive postoperative physiotherapy for a minimum of 6 months is paramount for successful treatment.

Temporomandibular Joint Ankylosis Among Patients at Saint Paul’s Hospital Millennium Medical College, Ethiopia: a 9 Year Retrospective Study

“…In the present study, ankylosis cases were more predominant in females (55.8%) than males (44.2%), with a sex ratio of female to male 1.26:1. This nding is in agreement with other reports from Sudan [2], Morocco [17], South Africa [8], Pakistan [18], and Nigeria [19]. In contrast, studies from Nigeria [5] and India [16] reported the predominance of TMJA cases among males than females.…”

Lateral arthroplasty along with buccal fat pad inter-positioning in the management of Sawhney type III temporomandibular joint ankylosis

“…Preoperative diagnosis of TMJ ankylosis with the help of CBCT (coronal view) is very important to detect Sawhney type III cases. Although CT is a standard investigative procedure for TMJ ankylosis, clinicians working in resource-scarce environments may rely on plain radiographs alone9. However, plain radiographs alone cannot detect Sawhney type III cases, and as a result, these cases are managed improperly as type IV cases.…”

“…However, plain radiographs alone cannot detect Sawhney type III cases, and as a result, these cases are managed improperly as type IV cases. The importance of getting a preoperative CT or CBCT scan cannot be over-emphasized9.…”

Classification of the journal category “oral surgery” in the Scopus and the Science Citation Index Expanded: flaws and suggestions

“…The Journal of Oral and Maxillofacial Surgery (JOMS)45678910111213 was one journal title selected from journals indexed by Scopus and SCIE that was correctly classified as an oral surgery title. (Tables 1, 3) The Journal of the Korean Association of Oral and Maxillofacial Surgeons (JKAOMS)14151617181920212223 was one journal title selected from the journals indexed by Scopus only and was correctly classified as an oral surgery title. (Table 1) One journal title that was selected from journals not indexed by Scopus or SCIE and classified as an oral surgery title was Maxillofacial Plastic and Reconstructive Surgery (MPRS)24252627282930313233.…”