Intraoral distraction osteogenesis for the correction of facial deformities following temporomandibular joint ankylosis: a modified technique

Sadakah, A.A.; Elgazzar, R.F.; Abdelhady, A.I.

doi:10.1016/j.ijom.2006.01.013

Cited by 42 publications

(46 citation statements)

References 30 publications

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“…Yu 19 favoured simultaneous distraction osteogenesis with gap arthroplasty and presented a similar mouth opening of 32.4 (28-37) mm in 13-58 months of follow-up period. In our study, no patient reported with relapse in the PAD group, similar to the study of Sadakah et al 8 who evaluated transoral bimaxillary distraction osteogenesis before releasing …”

Section: Discussionsupporting

confidence: 90%

“…Distraction osteogenesis has recently become the mainstay of treatment for correction of facial deformity in TMJ ankylosis. While interposition arthroplasty may be performed to correct the functional movements, distraction may be timed either before (pre-arthroplasty), [8][9][10] during (simultaneous arthroplasty) [11][12][13][14][15][16] or after (post-arthroplasty).…”

Section: 3mentioning

confidence: 99%

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Pre-arthroplastic and simultaneous mandibular distraction for correction of facial deformity in temporomandibular joint ankylosis

Chellappa

Mehrotra

Vishwakarma

et al. 2015

Journal of Oral Biology and Craniofacial Research

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a b s t r a c tIntroduction: In cases of temporomandibular joint (TMJ) ankylosis, interposition arthroplasty allows return of functional jaw movements. In order to improve the facial appearance, distraction osteogenesis is the treatment of choice, and may be timed either as a prearthroplastic, simultaneous or post-arthroplastic procedure. This study was planned to compare the treatment outcomes of pre-arthroplastic distraction (PAD) and simultaneous arthroplastic distraction (SAD) to establish the better treatment modality in terms of improvement in function and aesthetics. Materials and methods: This prospective randomized experimental study included 20 children and adolescents suffering from facial deformity due to long standing unilateral TMJ ankylosis. They were randomly allocated to the two surgical groups with ten in each group. Result: Both groups resulted in good facial symmetry and aesthetics. Initially, during the distraction period, mouth opening of SAD group scored less than that of PAD group but became comparable in 30 days. More pain at the distraction site and over the normal TMJ was observed in PAD group. The excursive movements were almost comparable in both the groups. Conclusion: We conclude that both procedures are effective in correcting the postankylotic deformity and improving function. Although PAD has better control over movement of the distracting segment, the contralateral TMJ may experience pain.SAD requires a shorter management period but is associated with a temporary decrease in function. Also, control of distraction may be difficult and chances of reankylosis are always there.

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Section: Discussionsupporting

confidence: 90%

Section: 3mentioning

confidence: 99%

Pre-arthroplastic and simultaneous mandibular distraction for correction of facial deformity in temporomandibular joint ankylosis

Chellappa

Mehrotra

Vishwakarma

et al. 2015

Journal of Oral Biology and Craniofacial Research

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“…The resected elongated coronoid process was employed to act as a condyle with TMF interposition in 8 (7%) cases. A technique of intraoral distraction osteogenesis, modified by SADAKAH et al 32 , was employed in Treatment modalities of TMJ ankylosis: experience in Delta Nile, Egypt 337 11 (10%) cases to correct the mandibular deformity and maxillary canting. This was followed by TMF interpositional gap arthroplasty.…”

Section: Methodsmentioning

confidence: 99%

“…Resected elongated coronoid process 12,14 and excised ankylotic mass 10 have also been tried. Distraction osteogenesis has been used successfully before 31,32 or after 31,34 the release of the joint ankylosis, to correct secondary facial asymmetry.…”

mentioning

confidence: 99%

Treatment modalities of TMJ ankylosis: experience in Delta Nile, Egypt

Elgazzar

Abdelhady

Saad

et al. 2010

International Journal of Oral and Maxillofacial Surgery

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104

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“…From the postoperative third month, exercise is requested 3 times a day. A mouth gag is used for the first 2 or 3 days and then a custom-made resin block attached to the wooden spatula 16 or to the mouth gap is used to facilitate mouth opening in stability. Patients No.…”

Section: Postoperative Mouth-opening Exercises and Follow-upmentioning

confidence: 99%