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Autogenous Reconstructive Modalities of TMJ Ankylosis-A Retrospective Analysis of 45 Cases

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Abstract

The study reports the authors’ experience in managing temporomandibular joint (TMJ) ankylosis in Chennai, India (1995–2006) and compares the surgical modalities used. Forty-five patients (67 joints) were reviewed in this retrospective study. Pre- and post-operative assessment included history, radiological, physical examination, and range of mouth opening. Age, gender, aetiology, joint(s) affected, surgical modality, complications and follow-up periods were evaluated. Various types (fibrous, fibroosseous and bony) of TMJ ankylosis were diagnosed. Trauma was the commonest aetiology. The patients’ age range was 2–50 years, 51.1 % were males and the follow-up period ranged from 14 to 96 months. Average mouth opening was significantly increased to 32 mm 12 months post-operatively. Mouth opening was compared following different interpositional materials like temporalis interpositioning (33 mm), costochondral graft (30.6 mm) and autograft (30 mm). Minor and major complications were encountered in 37.4 % of cases, including 6.7 % recurrence rate. Early release of TMJ ankylosis; reconstruction of the ramus height with distraction osteogenesis or bone grafting combined with interpositional arthroplasty, followed by vigorous physiotherapy is a successful strategy for the management of TMJ ankylosis.

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Authors and Affiliations

  1. Edens Dental and Maxillofacial Hospital, Nagercoil, Tamil Nadu, India

    Dhineksh Kumar

  2. Rajan Dental Institute, Radhakrishnan Salai, Mylapoor, Chennai, Tamil Nadu, India

    Gunaselan Rajan

  3. Research Wing, Christian Medical Centre, Vellore, Tamil Nadu, India

    Uma Raman

  4. Sree Mookambika Institute of Dental Sciences, Kulasekaram, Tamil Nadu, India

    Jomy Varghese

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  1. Dhineksh Kumar
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  2. Gunaselan Rajan
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  3. Uma Raman
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  4. Jomy Varghese
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Correspondence to Dhineksh Kumar.

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Kumar, D., Rajan, G., Raman, U. et al. Autogenous Reconstructive Modalities of TMJ Ankylosis-A Retrospective Analysis of 45 Cases. J. Maxillofac. Oral Surg. 13, 359–365 (2014). https://doi.org/10.1007/s12663-013-0504-9

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  • DOI: https://doi.org/10.1007/s12663-013-0504-9

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