Current concepts in the pathogenesis of traumatic temporomandibular joint ankylosis

Yan, Ying-Bin; Liang, Su-Xia; Shen, Jun; Zhang, Jian Cheng; Zhang, Yi

doi:10.1186/1746-160x-10-35

Cited by 58 publications

(47 citation statements)

References 77 publications

(112 reference statements)

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“…The scientific evidence for this procedure is however debated. 11,25 In the present case, early jaw exercise was the only prevention of reankylosis introduced after the TMJ reconstruction.…”

Section: Discussionmentioning

confidence: 64%

“…10 Trauma is the main cause of TMJ ankylosis with infections, rheumatoid arthritis and psoriasis as other etiological factors. 11,12 The optimal treatment for this condition is still debated as both surgical interventions such as gap arthroplasty, costochondral grafts and total joint reconstruction with alloplastic materials, and pharmaceutical methods has been proposed for treatment of traumatic TMJ ankylosis. 12,13…”

mentioning

confidence: 99%

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A Case of Glenoid Fossa Fracture, Progressive Ankylosis, Total Joint Reconstruction with Alloplastic Prosthesis to Normalized Function Including Evaluation with F18-PET/CT–a Four Year Follow-up

Lindell

Thor

2017

Craniomaxillofacial Trauma & Reconstruction

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Temporomandibular joint replacement (TJR) with alloplastic prosthesis has shown promising long-term results in end stage joint disorders. We present a case of young woman with painful ankylosis that where reconstructed with TJR, due to a complex mandibular fracture with dislocation of the left condyle into the middle cranial fossa two years earlier. At the age of 18 the subject underwent a total joint replacement with custom-made alloplastic TMJ prosthesis. To determine the bone response and remodeling activity around the prosthesis, a F18 PET/CT-scan was used. No sign of increased remodeling or pathology were seen in the imaging after the reconstruction. Four years postoperatively the subject reports no pain and excellent jaw function.

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Section: Discussionmentioning

confidence: 64%

mentioning

confidence: 99%

A Case of Glenoid Fossa Fracture, Progressive Ankylosis, Total Joint Reconstruction with Alloplastic Prosthesis to Normalized Function Including Evaluation with F18-PET/CT–a Four Year Follow-up

Lindell

Thor

2017

Craniomaxillofacial Trauma & Reconstruction

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“…In the case reported, it was showed an acceptable oral immediate opening of 50 mm and late of 45 mm. The result was satisfactory, with no postoperative complications or recurrence during the period of monitoring [24][25][26][27][28][29][30].…”

Section: Discussionmentioning

confidence: 99%

Ankylosis Due Sequel Of Fracture Of The Mandibular Condyle: Case Report

Gomes

Pereira²,

Santos³

et al. 2017

int arch med

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The Ankylosis of the Temporomandibular joint (TMJ) is a disorder of craniofacial complex that results in the merger between the condyle and the mandibular fossa, causing partial or complete immobilization of the mandible. The etiological factors are local and systemic inflammation, infection in the area of TMJ, rheumatic diseases and neoplasms, having the trauma as the main etiologic factor. The traumas are responsible for 31% to 98% of cases of ankylosis. The diagnosis is made from the anamnesis and imaging scans (computed tomography) pointing to the union of joint components. The treatment of ankylosis is a big challenge due the high rate of recurrence that can be affected by factors such as type of ankylosis, surgical technique, age of the patient, post-operative physiotherapy and systematic follow-up of the patient. The various forms of treatment require careful analysis of type of ankylosis if it is intra or extra-articular, unilateral or bilateral and if it is bony or fibrous, There is no consensus in current literature regarding the best treatment. The aim of this work is to present through the report of a clinical case, a surgical treatment of Unilateral Temporomandibular joint Ankylosis, due to sequel of condylar fracture with re-establishment of the stomatognathic functions in postoperative follow-up.

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“…The usual age of onset of TMJ ankylosis in children is below 10 years [14] concurrent with the active growth phase of early childhood [10]. Children present with restricted mouth opening; dentofacial deformity; malocclusion; poor oral hygiene; dental caries; cosmetic disability; impaired speech; and difficulty in mastication, malnutrition, and obstructive sleep apnea [9,13].…”

Section: Clinical Presentationmentioning

confidence: 99%

Management of Young Patients with Temporomandibular Joint Ankylosis—a Surgical and Anesthetic Challenge

et al. 2016

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Temporomandibular joint ankylosis is a unique disease where fracture of the mandibular condyle or any other cause leading to ankylosis of the joint can lead to multiple problems if not detected and treated early. If affected in early years of life, it may cause facial dysmorphism, restricted mouth opening, and difficulty in eating, speech, and sleep. Early surgery and physiotherapy can restore the joint function to a great extent. Anesthetizing a pediatric patient with this disorder is a definite challenge which needs expertise in difficult airway management.

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Current concepts in the pathogenesis of traumatic temporomandibular joint ankylosis

Cited by 58 publications

References 77 publications

A Case of Glenoid Fossa Fracture, Progressive Ankylosis, Total Joint Reconstruction with Alloplastic Prosthesis to Normalized Function Including Evaluation with F18-PET/CT–a Four Year Follow-up

A Case of Glenoid Fossa Fracture, Progressive Ankylosis, Total Joint Reconstruction with Alloplastic Prosthesis to Normalized Function Including Evaluation with F18-PET/CT–a Four Year Follow-up

Ankylosis Due Sequel Of Fracture Of The Mandibular Condyle: Case Report

Management of Young Patients with Temporomandibular Joint Ankylosis—a Surgical and Anesthetic Challenge

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