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

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

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, radio...

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Bibliographic Details
Published in:Journal of maxillofacial and oral surgery Vol. 13; no. 4; pp. 359 - 365
Main Authors: Kumar, Dhineksh, Rajan, Gunaselan, Raman, Uma, Varghese, Jomy
Format: Journal Article
Language:English
Published: India Springer India 01-12-2014
Springer Nature B.V
Subjects:
Dentistry
Joint surgery
Medicine
Medicine & Public Health
Mouth
Oral and Maxillofacial Surgery
Otorhinolaryngology
Patients
Plastic Surgery
Review Paper
Sutures
TMJ ankylosis
Autograft
Ankylosis
Costochondral graft
Autogenous reconstruction
Autogenous grafts
Gap arthroplasty
Preauricular incision
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Summary: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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ISSN:0972-8279
0974-942X
DOI:10.1007/s12663-013-0504-9