Journal of Maxillofacial and Oral Surgery

, Volume 19, Issue 1, pp 44–46 | Cite as

Application of Navigation Surgery in Temporomandibular Joint Ankylosis Case and Review of Literature

  • S. K. Roy Chowdhury
  • Abhishek MishraEmail author
  • Vivek Saxena
  • K. Rajkumar
  • V. Gopal Krishnan
  • S. R. Arunkumar
  • Prasun Kumar Dubey
Case Report


The aim of this article is to develop a navigation-guided oral and maxillofacial surgery including surgical planning, simulation and navigation in temporomandibular joint ankylosis case practiced in tertiary care hospital. After getting the computed tomographic angiography of head and neck, the special software of Brain lab® is used to mark the arteries and veins of the patient, which was in close approximation to the mandibular condyle. Brain lab® navigation system was used during the surgery to ascertain the middle meningeal artery location, and osteotomy cut was given. Navigation technology use in the neurosurgery is not new. But its use in the subcontinent in the field of maxillofacial surgery is quite rare. First time, it has been used scientifically in temporomandibular joint ankylosis case. Navigation technology use in the maxillofacial surgery requires a holistic imaginative/creative approach to make the surgeries more predictive and safe.


Navigation surgery TMJ ankylosis Navigation surgery in maxillofacial 


Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.


  1. 1.
    Erol B, Tanrikulu R, Gorgün B (2006) A clinical study on ankylosis of the temporomandibular joint. J Craniomaxillofac Surg 34:100CrossRefGoogle Scholar
  2. 2.
    Lello GE (1990) Surgical correction of temporomandibular joint ankylosis. J Craniomaxillofac Surg 18:19CrossRefGoogle Scholar
  3. 3.
    Miyamoto H, Kurita K, Ogi N et al (1999) The role of the disk in sheep temporomandibular joint ankylosis. Oral Surg Oral Med Oral Pathol 88:151–158CrossRefGoogle Scholar
  4. 4.
    Kaduk WMH, Podmelle F, Louis PJ (2013) Surgical navigation in reconstruction. Oral Maxillofac Surg Clin N Am 25:313–333. CrossRefGoogle Scholar
  5. 5.
    Kumar V, Chaudhry K, Gour S et al (2017) Advent of surgical navigation in oral and maxillofacial surgery and application of different navigational systems in various surgical procedures: a review. JBR J Interdiscip Med Dent Sci 06:1–5. CrossRefGoogle Scholar
  6. 6.
    Baumann A, Schicho K, Klug C et al (2007) Stereotactic navigation in oral and maxillofacial surgery. Int J Oral Maxillofac Surg 25:1163–1170. CrossRefGoogle Scholar
  7. 7.
    Mischkowski RA, Zinser MJ, Ritter L et al (2007) Intraoperative navigation in the maxillofacial area based on 3D imaging obtained by a cone-beam device. Int J Oral Maxillofac Surg 36:687–694. CrossRefPubMedGoogle Scholar
  8. 8.
    Tavassol F, Kokemüller H, Müller-Tavassol C et al (2012) A quantitative approach to orbital decompression in Graves’ disease using computer-assisted surgery: a compilation of different techniques and introduction of the “temporal cage”. J Oral Maxillofac Surg 70:1152–1160. CrossRefGoogle Scholar
  9. 9.
    Santo G. Korrektur des Exophthalmus bei Morbus Basedow assoziierter Ophthalmopathie durch en bloc Teilresektion der lateralen und inferioren Orbitawand—eine klinische Untersuchung. Inauguraldissertation. Gießen. 2008. p. 29–40Google Scholar
  10. 10.
    Baumann A, Schicho K, Klug C et al (2005) Computer-assisted navigational surgery in oral and maxillofacial surgery. Atlas Oral Maxillofac Surg Clin N Am 13:41–49. CrossRefGoogle Scholar

Copyright information

© The Association of Oral and Maxillofacial Surgeons of India 2019

Authors and Affiliations

  1. 1.Division of Oral and Maxillofacial Surgery, Department of Dental Surgery Oral Health SciencesArmed Forces Medical CollegePuneIndia

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