Is a deep subfascial approach better than the subfascial apporach to temporo-mandibular joint in terms of facial nerve injury and quality of life?

The objective of the study was to compare the deep subfascial approach to subfascial approach in terms of facial nerve injury and quality of life. A randomized study was performed from August 2013 to March 2017 on 24 patients with unilateral TMJ ankylosis. The subjects were randomly allotted to eith...

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Bibliographic Details
Published in:	Journal of cranio-maxillo-facial surgery Vol. 46; no. 8; pp. 1172 - 1178
Main Authors:	Rastogi, Sanjay, Sharma, Ashish, Kumari, Nandani, Choudhury, Rupshikha, Tripathi, Siddhi, Kumar, Ankit, Chauhan, Pranshu, Kumar Das, Kaustuv
Format:	Journal Article
Language:	English
Published:	Scotland 01-08-2018
Subjects:	Ankylosis - surgery Dentistry Face - surgery Facial Nerve Injuries - etiology Female Humans Male Postoperative Complications - etiology Quality of Life Surveys and Questionnaires Temporomandibular Joint - surgery Temporomandibular Joint Disorders - surgery Young Adult Deep subfascial TMJ ankylosis Facial nerve Subfascial Quality of life
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Summary:	The objective of the study was to compare the deep subfascial approach to subfascial approach in terms of facial nerve injury and quality of life. A randomized study was performed from August 2013 to March 2017 on 24 patients with unilateral TMJ ankylosis. The subjects were randomly allotted to either Group I (12, Deep Subfascial) or Group II (12, Subfascial). All patients were evaluated objectively for facial nerve injury post-operatively and subjectively for quality of life in the form of a questionnaire post-operatively for 6 months. The data were analyzed using simple descriptive statistics, mean standard deviation, Wilcoxon paired t test, Friedman's test, and Mann Whitney U test. The comparison of the difference between the groups for postoperative facial nerve function at various time intervals did not give any significant differences (p > 0.05). In terms of quality of life there was a significant difference at 1 month post-operatively (p < 0.05) amidst the two approaches, however, 6-month follow-up revealed that there is no significant difference between the two approaches (p > 0.05). The study reveals that both the approaches are safe in terms of facial nerve injury and quality of life long term.
Bibliography:	ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-News-1 ObjectType-Feature-3 content type line 23
ISSN:	1010-5182 1878-4119
DOI:	10.1016/j.jcms.2018.04.002