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Revisiting the Use of GORE-TEX as an Interpositional Material in Surgical Management of Severe Temporomandibular Joint Ankylosis

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Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

(1) Defining a protocol for management of patients with severe temporomandibular joint ankylosis. (2) Review the results of use of GORE-TEX as an interpositional material in gap arthroplasty. All cases which were treated with surgical intervention for severe TMJ Ankylosis with use of GORE-TEX as an interpositional material have been included. Amongst 40 patients, 11 were male and 29 were female with age group ranging from 4 to 36 years. 22 patients had bilateral ankylosis and 18 patients had unilateral ankylosis needing unilateral condylectomy. In all the patients GORE-TEX was used as an inter-positional material to form a pseudo joint. Postoperative mouth opening was around 3 fingers (3–3.5 cm) for period of 2 years i.e. last follow up. Migration or extrusion of implant was not seen in any of our cases. Use of GORE-TEX as an inter-positional material can prevent recurrences with good restoration of the physiological joint and occlusion.

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Abbreviations

TMJ:

Temporomandibular joint

ePTFE:

Expanded polytetrafluoroethylene

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Funding

No financial support was taken from anyone. Study is self-funded.

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Authors and Affiliations

  1. Department of ENT and Head and Neck Surgery, Pramukh Swami Medical College and Shri Krishna Hospital, Karamsad (Anand), Gujarat, 388325, India

    Girish S. Mishra & Jaykumar V. Patel

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  1. Girish S. Mishra
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  2. Jaykumar V. Patel
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Correspondence to Jaykumar V. Patel.

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The authors declare that they have no conflict of interest.

Ethical Standards

We assert that all procedures contributing to this work comply with the ethical standards of the relevant national and institutional guidelines on human experimentation (Institutional Ethics Committee H. M. Patel Centre for Medical Care & Education Karamsad, Gujarat, 388325, Reg. No. ECR/331/Inst/GJ/2013/RR-16) and with the Helsinki Declaration of 1975, as revised in 2008.

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Mishra, G., Patel, J.V. Revisiting the Use of GORE-TEX as an Interpositional Material in Surgical Management of Severe Temporomandibular Joint Ankylosis. Indian J Otolaryngol Head Neck Surg 72, 302–307 (2020). https://doi.org/10.1007/s12070-019-01786-9

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  • DOI: https://doi.org/10.1007/s12070-019-01786-9

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