Preservation of condyle and disc in the surgical treatment of type III temporomandibular joint ankylosis: a long-term follow-up clinical study of 111 joints

2013 ◽  
Vol 42 (6) ◽  
pp. 746-751 ◽  
Author(s):  
S.K. Jakhar ◽  
M. Agarwal ◽  
D.K. Gupta ◽  
A.D. Tiwari
Keyword(s):  
Clinical Study ◽  
Surgical Treatment ◽  
Temporomandibular Joint ◽  
Type Iii ◽  
Temporomandibular Joint Ankylosis ◽  
Long Term Follow Up ◽  
Joint Ankylosis

scholarly journals Gap Arthroplasty of Bilateral Temporomandibular Joint Ankylosis

2014 ◽  
Vol 29 (2) ◽  
pp. 28-31
Author(s):  
Ferdinand Z. Guintu ◽  
Alexander T. Laoag ◽  
Joselito F. David
Keyword(s):  
Temporomandibular Joint ◽  
Mouth Opening ◽  
Tmj Ankylosis ◽  
Temporomandibular Joint Ankylosis ◽  
Gap Arthroplasty ◽  
Long Term Follow Up ◽  
Preauricular Approach ◽  
Temporal Bones ◽  
Joint Ankylosis

Objective: To present a case of bilateral temporomandibular joint ankylosis that was managed successfully through gap arthroplasty. Methods: Design:   Case report Setting:   Tertiary Government Hospital Patient:   One Results: A 25-year-old man presented with inability to open his mouth for 18 years after direct trauma to his chin.  CT scan showed bilateral bony fusion of condyles to glenoid fossae, hypertrophic sclerosis and fusion of the condylar heads to the temporal bones. He underwent bilateral gap arthroplasty via preauricular approach with creation of a 15 mm space on the mandibular fossa. As of latest follow up, the patient maintained an inter-alveolar distance of 30 mm for 5 months postoperatively, through continuous aggressive mouth opening exercises. Conclusion:      Gap arthroplasty may be an efficient procedure for temporomandibular joint ankylosis in achieving satisfactory post-operative inter-alveolar opening and articular function. Early and meticulous rehabilitation is required to prevent relapse. Long-term follow up is recommended to document possible recurrence.   Keywords: temporomandibular joint ankylosis, gap arthroplasty, TMJ ankylosis, ankylosis

scholarly journals Surgical treatment of temporomandibular joint ankylosis: follow-up of 15 cases and literature review

2011 ◽  
Vol 40 (10) ◽  
pp. 1224
Author(s):  
B.C.D.E. Vasconcelos ◽  
R.W.F. Carvalho ◽  
G.G. Porto ◽  
R.V. Bessa-Nogueira ◽  
M.M.M. Nascimento
Keyword(s):  
Surgical Treatment ◽  
Literature Review ◽  
Temporomandibular Joint ◽  
Temporomandibular Joint Ankylosis ◽  
Joint Ankylosis

scholarly journals Surgical treatment of type III temporomandibular joint ankylosis with a lateral arthroplasty while retaining the medially displaced condyle

2019 ◽  
Vol 101 (6) ◽  
pp. 415-421
Author(s):  
X Lin ◽  
H-Y Li ◽  
Q-T Xie ◽  
T Zhang ◽  
X-P Huang ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Temporomandibular Joint ◽  
Mouth Opening ◽  
Long Term Results ◽  
Joint Movement ◽  
Type Iii ◽  
Temporomandibular Joint Ankylosis ◽  
Surgical Treatments ◽  
Joint Ankylosis

Introduction We discuss our findings on the retention of the medially displaced residual condyle during the treatment of type III temporomandibular joint ankylosis, as well as the postoperative results observed during follow-up. Materials and methods Thirty-two patients with type III temporomandibular joint ankylosis that met the inclusion criteria of the study were included as subjects. The morphological integrity of the medially displaced residual condyle was verified in all of the participating patients through the use of cone beam computed tomography. The duration of the ankylosis ranged from 2 to 12 years. The maximum length that patients were able to open their mouths ranged from 6 mm to 14 mm. The surgical treatments used in this report included the separation of bony fusions between the condyle and the glenoid fossa, resection of the ankylosed sites, preservation of the displaced condyles in their medial position and suturing the remains of the disc to its typical position or taking the temporalis myofascial flap instead. The long-term results were evaluated by computed tomography and clinical follow-up examinations. Results Three-year postoperative follow-up examinations were performed for all of the patients included in this study. No recurrences were observed in the patients who adhered to the postoperative therapeutic advice. Patients had an average maximal mouth opening distance of 34.50 ± 5.75 mm as recorded during the final follow-up examination. Conclusions The released medially residual condyle can still function normally in temporomandibular joint movement and without reankylosis after a bone fusion resection. The displaced condyle should thus be preserved instead of being removed during the treatment of type III temporomandibular joint ankylosis.

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