Protection of the Temporomandibular Joint during Syndromic Neonatal Mandibular Distraction using Condylar Unloading

Fan, Kenneth L.; Andrews, Brian T.; Liao, Eileen; Allam, Karam A.; Amaral, Cesar Augusto Raposo; Bradley, James P.

doi:10.1097/prs.0b013e31824a2d00

Cited by 30 publications

(22 citation statements)

References 30 publications

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“…Fan et al previously described condylar dysmorphologies in neonates resulting from distraction forces. 10 The authors utilized class II elastics to prevent these deleterious outcomes. We present a refinement that directly opposes the vector of distraction and consequently preserves cephalometric relations.…”

Section: Discussionmentioning

confidence: 99%

Balancing Distraction Forces in the Mandible: Newton’s Third Law of Distraction

Shakir

Naran

Lowe

et al. 2018

Plastic and Reconstructive Surgery - Global Open

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Section: Discussionmentioning

confidence: 99%

Balancing Distraction Forces in the Mandible: Newton’s Third Law of Distraction

Shakir

Naran

Lowe

et al. 2018

Plastic and Reconstructive Surgery - Global Open

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“…3 Ankylosis of the temporomandibular joint can be classified in the following ways: anatomically, as intracapsular or extracapsular; according to the tissue involved in the bone, as fibrous or fibro-osseous; and according to the fusion extent, as complete or incomplete. 4 Restoring proportional anatomy and facial features is a challenge in these patients. 3 The main cause of ankylosis is due to trauma on the face followed by local or systemic infection, such as ankylosing spondylitis and rheumatoid arthritis.…”

Section: Introductionmentioning

confidence: 99%

“…Ankylosis can also be a sequel of mandibular distraction osteogenesis. 3,4 Its success with jaw stretching and subsequent reports of successful tracheostomy decannulation after mandibular distraction in patients with Robin sequence (SR) led to an increase in the use of mandibular distraction to avoid Implications of Distraction Osteogenesis in Ankylosis of Temporomandibular Joint tracheostomy in these patients. 5 Early mandibular distraction in patients with severe micrognathia has recently been recognized as an effective treatment option to relieve upper airway obstruction, since the airway improvement mechanism is mainly based on the jaw advance and the posterior anterior displacement of the tongue base and epiglottis away from the posterior pharynx wall.…”

Section: Introductionmentioning

confidence: 99%

Implications of Distraction Osteogenesis in Ankylosis of Temporomandibular Joint

Sambugaro¹,

Silveira

Andrade³

et al. 2020

J. Health Scie.

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Studies with children and adult patients submitted to mandibular distraction osteogenesis surgery were analyzed, whose complication was ankylosis of the temporomandibular joint. In this study, the objective was to carry out a narrative review of the literature, seeking the prevalence of this complication after distraction osteogenesis. The literature review was carried out in the electronic databases, PubMed and Scopus, using mesh terms and their respective entry terms. The screening process consisted of two phases: Phase I - Select by titles and abstracts; Phase II - Complete reading article based on selected articles from phase I. It was observed after the data tabulation a lack of scientific evidence regarding this complication after distraction osteogenesis; as well as a very large variability in the case report studies or case series since there are no clinical trials on this subject. Thus, it can be concluded that there are few studies to state the relationship between ankylosis of the temporomandibular joint after distraction osteogenesis, requiring further clinical trial studies on the subject. Keywords: Temporomandibular Joint Dysfunction Syndrome. Temporomandibular Joint Disorders. Osteogenesis. Distraction. Callotasis; Bone Formation ResumoForam analisados estudos com pacientes crianças e adultos submetidos a cirurgia de distração osteogênica mandibular que tiveram como complicação a anquilose da articulação temporo-mandibular. Neste estudo o objetivo foi realizar uma revisão narrativa da literatura buscando a prevalência desta complicação após a distração osteogênica. A revisão de literatura foi realizada nas bases de dados eletrônicas, PubMed e Scopus, utilizando mesh terms e seus respectivos entry terms. O processo de triagem consistiu em duas fases: Fase I - Selecionar por títulos e resumos; Fase II- Artigo completo de leitura baseado em artigos selecionados da fase I. Observou-se após a tabulação dos dados a falta de evidência científica com relação a esta complicação após a distração osteogênica; bem como uma variabilidade muito grande nos trabalhos de relato de caso ou série de casos uma vez que não existem ensaios clínicos referente a este assunto. Desta forma pode-se concluir que há poucos estudos para afirmarmos a relação entre a anquilose da articulação temporo-mandibular após a distração osteogênica, sendo necessários mais estudos de ensaio clínico sobre o tema. Palavras-chave: Síndrome da Disfunção da Articulação Temporomandibular. Transtornos da Articulação Temporomandibular. Calotasia. Formação Óssea.

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“…Bony ankylosis of the temporomandibular joints (TMJ) occurs in up to 28% of patients with syndromic mandibular dysostoses. 1 Reconstruction of complete osseous TMJ ankylosis is challenging in syndromic patients as the mandible is completely continuous with the skull base, thus preventing the ability to visually identify the junction between mandibular versus calvarial bone. One recent advance in surgical imaging technology is the use of three-dimensional virtual reality (3D VR) in combination with standard computed tomographic (CT)–aided navigation.…”

Section: Introductionmentioning

confidence: 99%