Skip to main content

Temporomandibular Joint Ankylosis

  • Chapter
  • First Online:
Temporomandibular Joint Disorders
  • 1774 Accesses

Abstract

Temporomandibular Joint ankylosis is characterized by formation of a fibrous or bony mass, that replaces the normal joint architecture. In growing patients, the early diagnosis and management of the condition is the key to prevent progressive secondary deformity. The essential goal of the surgery for temporomandibular joint ankylosis is to restore the mandibular form and function. This chapter describes the protocols established for the management of an adult as well as paediatric joint ankylosis.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Sharma VK, Rattan V, Rai S, Malhi P. Quality of life assessment in temporomandibular joint ankylosis patients after interpositional arthroplasty: a prospective study. Int J Oral Maxillofac Surg. 2019;48(11):1448–55. https://doi.org/10.1016/j.ijom.2019.04.017.

  2. Bello SA, Olokun BA, Olaitan AA, Ajike SO. Aetiology and presentation of ankylosis of the temporomandibular joint: report of 23 cases from Abuja, Nigeria. Br J Oral Maxillofac Surg. 2012;50(1):80–4.

    Article  PubMed  Google Scholar 

  3. Vasconcelos BC, Carvalho RW, Porto GG, Bessa-Nogueira RV, Nascimento MM. Surgical treatment of temporomandibular joint ankylosis: follow-up of 15 cases and literature review. Int J Oral Maxillofac Surg. 2011;40(10):1224.

    Article  Google Scholar 

  4. Yan YB, Duan DH, Zhang Y, Gan YH. The development of traumatic temporomandibular joint bony ankylosis: a course similar to the hypertrophic nonunion? Medical Hypotheses. 2012;78(2):273–6.

    Article  CAS  PubMed  Google Scholar 

  5. Yan YB, et al. Current concepts in the pathogenesis of traumatic temporomandibular joint ankylosis. Head Face Med. 2014;10:35.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Joshi UM, Patil SG, Shah K, Allurkar S. Brisement force in fibrous ankylosis: a technique revisited. Ind J Dent Res. 2016;27(6):661.

    Article  Google Scholar 

  7. Laskin DM. Role of the meniscus in the etiology of post-traumatic temporomandibular joint ankylosis. Int J Oral Surg. 1978;7:340–5.

    Article  CAS  PubMed  Google Scholar 

  8. Topazian RG. Comparison of gap and interposition arthroplasty in the treatment of temporomandibular joint ankylosis. J Oral Surg (American Dental Association: 1965). 1966;24(5):405.

    CAS  Google Scholar 

  9. Yew CC, Ab Rahman S, Alam MK. Temporomandibular joint ankylosis in a child: an unusual case with delayed surgical intervention. BMC Pediat. 2015;15(1):169.

    Article  Google Scholar 

  10. Durr ED, Turlington EG, Foote RL. Radiation treatment of heterotopic bone formation in the temporomandibular joint articulation. Int J Radiat Oncol Biol Phys. 1993;27(4):863–9.

    Article  CAS  PubMed  Google Scholar 

  11. El-Hakim IE, Metwalli SA. Imaging of temporomandibular joint ankylosis. A new radiographic classification. Dentomaxillofac Radiol. 2002;31:19–23.

    Article  PubMed  Google Scholar 

  12. He D, Yang C, Chen M, et al. Traumatic temporomandibular joint ankylosis: our classification and treatment experience. J Oral Maxillofac Surg. 2010;7:1600–7.

    Google Scholar 

  13. Behnia H, Tehranchi A, Younessian F. Comprehensive management of temporomandibular joint ankylosis—state of the art. A Textbook of Advanced Oral and Maxillofacial Surgery. 2015;2:2411.

    Google Scholar 

  14. Miloro M. Peterson’s Principles of Oral and Maxillofacial Surgery. PMPH-USA; 2004. p. 1033–4.

    Google Scholar 

  15. Singh S, Kumar S, Pandey R, Passi D, Mehrotra D, Mohammad S. Dimensional differences in mandibular antegonial notches in temporomandibular joint ankylosis. J Oral Biol Craniofac Res. 2011;1(1):7–11.

    Article  PubMed  Google Scholar 

  16. Wahal R. Temporo-mandibular joint ankylosis – the difficult airway. J Oral Biol Craniofac Res. 2015;5:57–8.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Moss ML, Rankow RM. The role of the functional matrix in mandibular growth. Angle Orthodontist. 1968;38(2):95–103.

    CAS  PubMed  Google Scholar 

  18. Deshpande A, Bhargava D, Kota S, Babu DG. Computed tomography analysis of hyoid apparatus in temporomandibular joint ankylosis. Int J Stomatol Occlusion Med. 2012;5(3):99–103.

    Article  Google Scholar 

  19. Anatanarayanan P, Narayanan V, Manikandhan R, et al. Primary mandibular distraction for management of nocturnal desaturations secondary to TMJ ankylosis. Int J Pediatr Otorhinolaryngol. 2008;72:385–9.

    Article  Google Scholar 

  20. Andrade NN, Kalra R, Shetye SP. New protocol to prevent TMJ reankylosis and potentially life threatening complications in triad patients. Int J Oral Maxillofac Surg. 2012;41(12):1495–500.

    Article  CAS  PubMed  Google Scholar 

  21. Shaeran TAT, Samsudin AR. Temporomandibular Joint Ankylosis Leading to Obstructive Sleep Apnea. J Craniofac Surg. 2019 Nov-Dec;30(8):e714-e717. https://doi.org/10.1097/SCS.0000000000005689.

  22. Langdon J, Patel M, Ord R, Brennan P. Operative oral and maxillofacial surgery. 2nd ed. 2010. p. 567.

    Google Scholar 

  23. Akkoyunlu ME, Altın R, Kart L, et al. Investigation of obstructive sleep apnoea syndrome prevalence among long-distance drivers from Zonguldak, Turkey. Multidiscip Respir Med. 2013;8(1):10. https://doi.org/10.1186/2049-6958-8-10.

    Article  PubMed  PubMed Central  Google Scholar 

  24. He D, Cai Y, et al. Analysis of temporomandibular joint ankylosis caused by condylar fracture in adults. J Oral Maxillofac Surg. 2013;12(15):763.e1–e9.

    Google Scholar 

  25. Kaban LB, Perrott DH, Fisher K. A protocol for management of temporomandibular joint ankylosis. J Oral Maxillofac Surg. 1990;48(11):1145–51.

    Article  CAS  PubMed  Google Scholar 

  26. Kaban LB, Bouchard C, Troulis MJ. A protocol for management of temporomandibular joint ankylosis in children. J Oral Maxillofac Surg. 2009;67(9):1966–78.

    Article  PubMed  Google Scholar 

  27. Clarkson P, Kenshole HH. Esmarch’s operation for the relief of ankylosis and of pain in the temporomandibular joint; a modified operative technique. Br Dent J. 1949;87(10):257–64, illust

    CAS  PubMed  Google Scholar 

  28. Salins PC. New perspectives in the management of temporomandibular joint ankylosis. Int J Oral Maxillofac Surg. 2000;29:337–40.

    Article  CAS  PubMed  Google Scholar 

  29. Mohan K, Mohana Rupa L, Gopala Krishna Murthy S, Greeshma PG, Bhavana U. Anaesthesia for TMJ ankylosis with the use of TIVA, followed by endotracheal intubation. J Clin Diag Res. 2012;6(10):1765.

    Google Scholar 

  30. Thakur R, Shigli AL, Thakur G, Ahuja R. Giving a second thought to brisement force–a case report. J Clin Pediat Dent. 2015;39(2):120–3.

    Article  CAS  Google Scholar 

  31. Al-Kayat A, Bramley P. A modified pre-auricular approach to the temporomandibular joint and malar arch. Br J Oral Surg. 1979;17(2):91–103.

    Article  CAS  PubMed  Google Scholar 

  32. Babu L, Jain MK, Ramesh C, et al. Is aggressive gap arthroplasty essential in the management of temporomandibular joint ankylosis? – a prospective clinical study of 15 cases. Br J Oral Maxillofac Surg. 2013;51:473–8.

    Article  PubMed  Google Scholar 

  33. Tuncel U. Interpositional arthroplasty in the treatment of temporomandibular joint ankylosis: a review of literature. Surgery. 2011;1(103):2161–1076.

    Google Scholar 

  34. Rao JD, Dar N, Sharma A, Sheorain AK, Malhotra V, Arya V. Evaluation of the sternoclavicular graft for the reconstruction of temporomandibular joint after gap arthroplasty. Ann Maxillofac Surg. 2017;7(2):194.

    Article  Google Scholar 

  35. Gunaseelan R. Condylar reconstruction in extensive ankylosis of temporomandibular joint in adults using resected segment as autograft: a new technique. Int J Oral Maxillofac Surg. 1997;26:405–7.

    Article  CAS  PubMed  Google Scholar 

  36. Zhu SS, Hu J, Li J, Luo E, Liang X, Feng G. Free grafting of autogenous coronoid process for condylar reconstruction in patients with temporomandibular joint ankylosis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008;106(5):662–7.

    Article  PubMed  Google Scholar 

  37. Liu Y, Li J, Hu J, Zhu S, Luo E, Hsu Y. Autogenous coronoid process pedicled on temporal muscle grafts for reconstruction of the mandible condylar in patients with temporomandibular joint ankylosis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010;109(2):203–10.

    Article  PubMed  Google Scholar 

  38. Wolford LM, Mercuri LG, Schneiderman ED, Movahed R, Allen W. Twenty-year follow-up study on a patient-fitted temporomandibular joint prosthesis: the Techmedia/TMJ concepts device. J Oral Maxillofac Surg. 2015;73:952–60.

    Article  PubMed  Google Scholar 

  39. Westermark A. Reconstruction of the temporomandibular joint. Up to 8 years follow-up of patients with Biomet total joint prostheses. Int J Oral Maxillofac Surg. 2010;39:951–5.

    Article  CAS  PubMed  Google Scholar 

  40. Bhargava D, Neelakandan RS, Sharma Y, Dalsingh V, Beena S, Gurjar P. Predictability and Feasibility of Total Alloplastic Temporomandibular Joint Reconstruction using DARSN TM Joint Prosthesis for patients in Indian subcontinent-A prospective clinical study. J Stomatol Oral Maxillofac Surg. 2020;121(1):2–8. https://doi.org/10.1016/j.jormas.2019.06.005.

  41. Guruprasad Y, Hemavathy OR. Management of obstructive sleep apnea syndrome secondary to temporomandibular joint ankylosis by mandibular elongation using distraction osteogenesis. Contemp Clin Dent. 2012;3(1):69.

    Article  PubMed  PubMed Central  Google Scholar 

  42. Gaur A, Singh G, Mishra M, Srivatsan KS, Sachdev V. Distraction osteogenesis for management of obstructive sleep apnea secondary to TMJ ankylosis. Nat J Maxillofac surg. 2013;4(1):104.

    Article  Google Scholar 

  43. Tomonari H, Takada H, Hamada T, Kwon S, Sugiura T, Miyawaki S. Micrognathia with temporomandibular joint ankylosis and obstructive sleep apnea treated with mandibular distraction osteogenesis using skeletal anchorage: a case report. Head Face Med. 2017;13(1):20.

    Article  PubMed  PubMed Central  Google Scholar 

  44. Li J, Zhu S, Wang T, Luo E, Xiao L, Hu J. Staged treatment of temporomandibular joint ankylosis with micrognathia using mandibular osteodistraction and advancement genioplasty. J Oral Maxillofac Surg. 2012;70(12):2884–92.

    Article  PubMed  Google Scholar 

  45. McKenzie WS, Louis PJ. Complications following temporomandibular joint replacement: a 10-year retrospective review. J Oral Maxillofac Surg. 2015;73(9):e21.

    Article  Google Scholar 

  46. Jagannathan M, Munoli AV. Unfavourable results in temporomandibular joint ankylosis surgery. Indian J Plastic Surg. 2013;46(2):235.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Darpan Bhargava .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2021 The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Bhargava, D., Pandey, A. (2021). Temporomandibular Joint Ankylosis. In: Bhargava, D. (eds) Temporomandibular Joint Disorders. Springer, Singapore. https://doi.org/10.1007/978-981-16-2754-5_17

Download citation

  • DOI: https://doi.org/10.1007/978-981-16-2754-5_17

  • Published:

  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-16-2753-8

  • Online ISBN: 978-981-16-2754-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics