scholarly journals Temporalis Myofascial Flap Interpositional Arthroplasty with Bilateral Coronoidectomy for Management of Unilateral TMJ Ankylosis: A Retrospective Study

2018 ◽  
Vol 6 (8) ◽  
Author(s):  
Pramod Sharma ◽  
Keyword(s):  
Retrospective Study ◽  
Tmj Ankylosis ◽  
Interpositional Arthroplasty ◽  
Temporalis Myofascial Flap

O.647 Interpositional arthroplasty in TMJ ankylosis

2008 ◽  
Vol 36 ◽  
pp. S162
Author(s):  
V. Costan ◽  
D. Gogalniceanu ◽  
V.-V. Costan ◽  
C. Vicol ◽  
V. Trandaflr
Keyword(s):  
Tmj Ankylosis ◽  
Interpositional Arthroplasty

scholarly journals ANQUILOSE DE ATM EM PACIENTE PEDIÁTRICO: RELATO DE CASO

2019 ◽  
Author(s):  
Rodrigo Figueiredo de Brito Resende
Keyword(s):  
Correct Diagnosis ◽  
Facial Asymmetry ◽  
Radiographic Evaluation ◽  
Autogenous Bone ◽  
Mandibular Growth ◽  
Tmj Ankylosis ◽  
Joint Reconstruction ◽  
Interpositional Arthroplasty ◽  
Mandibular Retrusion ◽  
Costochondral Graft

RESUMO: A anquilose da ATM caracteriza-se pela substituição dos tecidos articulares por tecido ósseo ou fibro-ósseo, gerando uma união entre os componentes ósseos da articulação, tal alteração gera comprometimento da função articular. A anquilose da ATM quando ocorre na infância pode prejudicar o crescimento mandibular, causando posteriormente uma assimetria facial severa entre outros. Sua etiopatogenia é variável, desde traumas até reações a injeções intra-capsulares de medicamentos.O correto diagnóstico só é obtido por meio de avaliação clínica e radiográfica, incluindo tomografia computadorizada e reconstruções em 3D-TC. Há diferentes modalidades cirúrgicas para seu tratamento, artroplastia em GAP, Artroplastia Interposicional utilizando-se da interposição de um material biológico ou não, e a reconstrução conjunta da ATM, com enxertia de osso autógeno ou prótese articular total, todas preconizando ressecção agressiva da massa anômala fibrosa e/ou óssea.O presente trabalho visa relatar cirurgia de remoção de massa anquilótica óssea em ATM  no serviço de CTBMF do HFSE do RJ. Paciente do sexo feminino, 7 anos, melanoderma, AMI de 15mm, acesso Al-Kayat, ressecção de massa anquilótica óssea, coronoidectomia bilateral, revestimento com aba miofascial de temporal, enxerto autógeno costocondral. Paciente evoluiu com AMI de 35mm e acompanhamento de 2 anos. Demonstrando eficácia e previsibilidade do tratamento escolhido, segundo protocolo Kaban.Palavras-chaves: Anquilose de ATM; Enxerto Costocondral; ArtroplastiaInterposicional; Protocolo Kaban                                                                 ABSTRACT: TMJ ankylosis is characterized by the replacement of the joint tissues by bone or fibro-osseous tissue, generating a union between the bone components of the joint, such alteration causes compromised joint function. TMJ ankylosis when it occurs in childhood may impair mandibular growth, causing severe facial asymmetry and mandibular retrusion, difficulty in phonation, among others. Its etiopathogenesis varies from traumas to reactions to intra-capsular injections of medications. Correct diagnosis is only obtained through clinical and radiographic evaluation, including computed tomography and 3DCT reconstructions. There are different surgical modalities for its treatment, GAP arthroplasty, Interpositional arthroplasty using the interposition of a biological material or not, and the joint reconstruction of TMJ, with autogenous bone excision or total joint prosthesis, all of which advocate aggressive resection of the anomalous mass fibrosis and / or bone. The present study aims to report bone ankylosis mass removal surgery in TMJ in the CTBMF service of the HFSE of RJ. Female patient, 7 years old, melanoderma, 15 mm AMI, general anesthesia, Al-Kayat access, bone ankylotic mass resection, bilateral coronoidectomy, temporal myofascial flap coating, autochondral costochondral graft. Patient evolved with 35mm AMI and 2 year post-operative follow-up. Demonstrating effectiveness and predictability of the treatment chosen, according to Kaban protocol. Keywords: TMJ ankylosis; Costochondral Graft, Interpositional Arthroplasty;Kaban Protocol                                                                 

scholarly journals Ankylosis of the Temporomandibular Joint (TMJ) Update and its treatment

2021 ◽  
Vol 12 (3) ◽  
pp. 52--57
Author(s):  
Francisca Durán ◽  
Francisca Hormazábal
Keyword(s):  
Literature Review ◽  
Temporomandibular Joint ◽  
Clinical Characteristics ◽  
Population Data ◽  
Treatment Sequence ◽  
Tmj Ankylosis ◽  
Interpositional Arthroplasty ◽  
Oral Opening ◽  
Global Population

In dentistry, temporomandibular joint (TMJ) ankylosis is a rare pathology where no consensus of global population data has been found and therefore has presented a challenge for professionals, since there are no treatment sequence protocols standardized. The objective is to carry out a literature review and update of the diagnosis of ankylosis, considering its clinical characteristics, classification, etiology, and epidemiology. Giving special emphasis to the types of treatments used and concluding that GAP interpositional arthroplasty and TMJ reconstruction arthroplasty would be the best options to improve maximum oral opening in a patient with ankylosis, thus allowing him to recover function and aesthetics.

Outcome of amniotic membrane as an interpositional arthroplasty of TMJ ankylosis

2015 ◽  
Vol 20 (1) ◽  
pp. 63-71 ◽  
Author(s):  
Mahmuda Akhter ◽  
Niaz Ahmed ◽  
Md. Raihan-ul Arefin ◽  
Mahbub-Us Sobhan ◽  
Motiur Rahman Molla ◽  
...  
Keyword(s):  
Amniotic Membrane ◽  
Tmj Ankylosis ◽  
Interpositional Arthroplasty

scholarly journals A Retrospective Study of Temporalis Muscle and Fascia Flap in Treatment of TMJ Ankylosis

2010 ◽  
Vol 9 (4) ◽  
pp. 363-368 ◽  
Author(s):  
Yadavalli Guruprasad ◽  
Dinesh Singh Chauhan ◽  
K. M. Cariappa
Keyword(s):  
Retrospective Study ◽  
Temporalis Muscle ◽  
Tmj Ankylosis ◽  
Fascia Flap

scholarly journals Interpositional arthroplasty with temporalis myofascial flap reconstruction in a case of temporomandibular joint bony ankylosis: a case report and review of literature

2019 ◽  
Vol 7 (1) ◽  
pp. 295
Author(s):  
Ankit Vishwani ◽  
Vipin Arora ◽  
Kavita Goyal ◽  
Suvercha Arya ◽  
Mohsin Khan
Keyword(s):  
Temporomandibular Joint ◽  
Mouth Opening ◽  
Facial Asymmetry ◽  
Flap Reconstruction ◽  
Review Of Literature ◽  
Interpositional Arthroplasty ◽  
Intraoral Approach ◽  
Temporalis Myofascial Flap ◽  
Mandibular Retrognathism ◽  
Bony Ankylosis

The report describes the treatment of a 30 year old female patient having unilateral right temporomandibular joint (TMJ) bony ankylosis whose mouth opening was restricted to 5 mm and had additional mandibular retrognathism causing severe mastication problems besides speech difficulties and low morale. The ankylosis had resulted in facial asymmetry due to bony hard swelling in front of right tragus. The patient was taken up for right interpositional arthroplasty with temporalis myofascial flap reconstruction by pre auricular approach and left coronoidectomy by intraoral approach as a preferred technique. A satisfactory mouth opening of 33 mm was achieved in immediate post-operative. Patient was followed up with aggressive mouth opening exercises in postoperative period.

scholarly journals Treatment of unilateral Temporomandibular joint ankylosis with silastic interpositional Arthroplasty

2016 ◽  
Vol 11 (4) ◽  
Author(s):  
Muhammad Usman Akhtar ◽  
Adnan Ali Shah ◽  
Iram Abbas
Keyword(s):  
Temporomandibular Joint ◽  
Late Complications ◽  
Careful Examination ◽  
Jaw Movements ◽  
Tmj Ankylosis ◽  
Interpositional Arthroplasty ◽  
Jaw Opening ◽  
Dental Hospital ◽  
Preoperative Ct ◽  
Growing Age

Background: Ankylosis is a very common condition developed mainly after damage to mandibular condyles or temporomandibular joint (TMJ) at a growing age. Different autogenous and alloplastic interpositional materials have been attempted after the resection of the ankylotic bone to achieve desirable results. This condition is relatively common in Pakistan. We treated TMJ ankylosis with alloplastic medical grade silicone "silastic" interpositional arthroplasty. Eight joints accompanied ipsilateral or contralateral coronoidectomy to achieve desirable results. Method: All patients were presented at Punjab Dental Hospital Lahore. Sixty-one joints with unilateral TMJ ankylosis were underwent surgery after careful examination and final radiographic confirmation. The preoperative CT scan was also performed in few patients. Results: The postoperative measurements of the interincisal opening with lateral and protrusive jaw movements were criteria for success of surgery. The lateral and protrusive jaw movements were assessed as excellent, good and poor. Less than 25 mm interincisal opening was considered as poor jaw opening. Conclusion: The overall success rate was 98.4 "Ai with 84 % desirable interincisal jaw opening. Less than 5 % patients were observed with poor jaw opening. The immediate late complications were transient and were included oedema, weakness of a branch of the facial nerve on the operated side. Two implants were infected along with one wire in the first month of surgery and were removed under local anesthesia` without further complication.

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