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TMJ Ankylosis Management: Our Experience

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Abstract

Aim

Temporomandibular joint (TMJ) ankylosis is an extremely disabling affliction that causes problems in mastication, digestion, speech, appearance and hygiene. Surgery of TMJ ankylosis needs careful evaluation and planning to yield predictable results. Temporomandibular joint ankylosis is very common among young children. The aim of treatment is not only to treat the movement of the joint but also to prevent relapse.

Materials and Method

In this series, 18 cases of temporomandibular joint ankylosis were treated at our institute from January 2012 to January 2017 with osteoarthrectomy and interpositional arthroplasty. Patients were in the age range of 5–57 years, with 11 males and 7 females and including 8 unilateral and 10 bilateral cases. Duration of ankylosis ranged from less than 2 years to more than 6 years. Seven of the patients were secondarily taken up for correction of their deformities with either orthognathic surgery or distraction osteogenesis.

Results

Good mouth opening was achieved in all the patients with a mean follow-up period of 12 months. The early post-operative mouth opening ranged from 24 to 37 mm. The late post-operative mouth opening ranged from 20 to 33 mm. There was a stress on aggressive physiotherapy for a minimum of 6 months in all our patients.

Conclusion

Interpositional arthroplasty using vascularized temporalis fascia flap is a very reliable method to prevent recurrence of ankylosis, and it also avoids the disadvantages of alloplastic materials as well as nonvascularized autogenous tissues.

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Authors and Affiliations

  1. Gangtok, India

    Satyapriya Shivakotee & Col Suresh Menon

  2. Oral and Maxillofacial Surgery, Vydehi Institute of Dental Sciences, Bangalore, India

    M. E. Sham, Veerendra Kumar & S. Archana

Authors
  1. Satyapriya Shivakotee
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  2. Col Suresh Menon
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  3. M. E. Sham
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  4. Veerendra Kumar
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  5. S. Archana
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Correspondence to Col Suresh Menon.

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Shivakotee, S., Menon, C.S., Sham, M.E. et al. TMJ Ankylosis Management: Our Experience. J. Maxillofac. Oral Surg. 19, 579–584 (2020). https://doi.org/10.1007/s12663-019-01293-y

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  • DOI: https://doi.org/10.1007/s12663-019-01293-y

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