scholarly journals Modified Gap Arthroplasty for Temporomandibular Joint Ankylosis Following Radiotherapy for Rhabdomyosarcoma: Report of an Unusual Case and Brief Literature Review

2021 ◽  
Vol 11 ◽  
Author(s):  
Jianfei Zhang ◽  
Liyan Dai ◽  
Ahmed Abdelrehem ◽  
Jinyang Wu ◽  
Xiaobo Li ◽  
...  
Keyword(s):  
Temporomandibular Joint ◽  
Muscle Flap ◽  
Surgical Trauma ◽  
Computed Tomographic ◽  
Temporomandibular Joint Ankylosis ◽  
Gap Arthroplasty ◽  
Post Radiation ◽  
First Time ◽  
Joint Ankylosis

Radiotherapy at the temporomandibular joint (TMJ) area often results in trismus, however, post radiation ankylosis is extremely rare and has not been previously reported in literature. Radiation is known to impact the vasculature of bony structures leading to bone necrosis with certain risk factors including surgical intervention, even teeth extraction, that could lead to osteoradionecrosis. Accordingly, gap arthroplasty for such case seemed rather challenging. In this report, we introduce for the first time, a rare case of temporomandibular joint ankylosis post radiotherapy for management of rhabdomyosarcoma in a 12 years-old boy. A modified gap arthroplasty technique combined simultaneously with pterygo-masseteric muscle flap was applied to lower the risk of osteoradionecrosis due surgical trauma at irradiated area. Computed tomographic scan on the head indicated that the TMJ architecture was completely replaced by bone, with fusion of the condyle, sigmoid notch, and coronoid process to the zygomatic arch and glenoid fossa. The patient’s problem was totally solved with no osteoradionecrosis or relapse of ankylosis observed at follow up visits. Herein, the modified gap arthroplasty combined with pterygo-masseteric muscle flap could be recommended to be applied on other cases of ankylosis especially after receiving radiotherapy.

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

Congenital Temporomandibular Joint Ankylosis: Clinical Characterization and Natural History of Four Unrelated Affected Individuals

2005 ◽  
Vol 42 (6) ◽  
pp. 694-698 ◽  
Author(s):  
Vera Lúcia Gil-da-Silva-Lopes ◽  
Daniela Varela Luquetti
Keyword(s):  
Natural History ◽  
Temporomandibular Joint ◽  
Clinical Aspects ◽  
Temporomandibular Joint Ankylosis ◽  
History Of ◽  
Joint Ankylosis

The objective of this study was to describe four unrelated patients affected by congenital temporomandibular joint ankylosis. Clinical delineation, natural history, and possible etiologies are discussed. Clinical aspects that are important for follow-up are outlined.

Gap arthroplasty of temporomandibular joint ankylosis by transoral access: a case series

2014 ◽  
Vol 43 (12) ◽  
pp. 1468-1472 ◽  
Author(s):  
R. Rajan ◽  
N.V.V. Reddy ◽  
A. Potturi ◽  
D. Jhawar ◽  
P.V. Muralidhar ◽  
...  
Keyword(s):  
Temporomandibular Joint ◽  
Case Series ◽  
Temporomandibular Joint Ankylosis ◽  
Gap Arthroplasty ◽  
Joint Ankylosis

scholarly journals Treatment of Temporomandibular Joint Ankylosis with Temporalis Superficial Fascia Flap, a case series

2013 ◽  
Vol 2 (4) ◽  
pp. 183-186
Author(s):  
Mehdi Sezavar ◽  
Zahra Malekpour ◽  
Maryam Sohrabi ◽  
Mojtaba Salehi
Keyword(s):  
Surgical Technique ◽  
Facial Nerve ◽  
Temporomandibular Joint ◽  
Case Series ◽  
Good Alternative ◽  
Superficial Fascia ◽  
Temporomandibular Joint Ankylosis ◽  
Joint Ankylosis ◽  
Fascia Flap

Background: Different interpositional materials have been used to prevent recurrence after gap arthroplasty in temporomandibular joint ankylosis. In this study, the temporalis superficial fascia flap was evaluated as an interpositional material after condylectomy. Materials and Methods: 9 Cases of unilateral or bilateral temporomandibular joint ankylosis were evaluated in this study with a follow-up of 12 months. The Al-khayat approach was used as the surgical technique with the inferiorly based temporalis superficial fascia flap. Results: 9 Patients (6 female and 3 male) had a preoperative maximal inter-incisal opening of 3 to 10 mm. During the last follow-up observation after surgery, patients had a maximum inter-incisal opening of 40 to 45 mm. Paresthesia or anesthesia of the temporal branch of facial nerve was absent in all cases. There were no signs of re-ankylosing in any of the patients. Conclusion: The findings of this study showed that the temporalis superficial fascia flap is a good alternative as an interpositional material in treatment of temporomandibular joint ankylosis.

scholarly journals Multidisciplinary management of temporomandibular joint ankylosis in an adult: journey from arthroplasty to oral rehabilitation

2021 ◽  
Vol 14 (9) ◽  
pp. e245120
Author(s):  
Kamlesh Kothari ◽  
Naveenkumar Jayakumar ◽  
Aayesha Razzaque
Keyword(s):  
Temporomandibular Joint ◽  
Rural Areas ◽  
Maxillofacial Surgery ◽  
Dental Restoration ◽  
Delayed Presentation ◽  
Multidisciplinary Management ◽  
Oral Rehabilitation ◽  
Temporomandibular Joint Ankylosis ◽  
Joint Ankylosis

Ankylosis of the temporomandibular joint is a debilitating condition resulting in progressive trismus and facial disfigurement. Common trigger factors include paediatric mandibular trauma, middle ear infection or traumatic childbirth. Although diminishing in incidence among urban population, it is still prevalent in the underprivileged world. Substandard child safety norms, delayed presentation, lack of access to specialties like maxillofacial surgery in rural areas and absence of follow-up contribute to ankylosis. Afflictions in ankylosis are multipronged, involving aesthetic, functional, psychological and nutritional implications to name a few. The damage this pathology causes to the young mind and their morale is humongous. Although well documented, a complete presentation of cases with follow-up till oral and myofascial rehabilitation is seldom reported. This paper describes multidisciplinary management of a young female patient with temporomandibular joint ankylosis. Staged management commencing from interpositional arthroplasty until dental restoration with a 2-year follow-up is presented in this paper.

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