scholarly journals Interposition arthroplasty of temporomandibular joint ankylosis using temporalis muscle flap: our experience

2011 ◽  
Vol 1 (1) ◽  
pp. 19
Author(s):  
Nilam U. Sathe ◽  
Prasad Bhange ◽  
Rumita Acharya ◽  
Abhijeet Bhatia ◽  
Shashikant Mhashal
Keyword(s):  
Temporomandibular Joint ◽  
Recurrence Rate ◽  
Muscle Flap ◽  
Temporalis Muscle ◽  
Interposition Arthroplasty ◽  
Nerve Paralysis ◽  
Tmj Ankylosis ◽  
Temporomandibular Joint Ankylosis ◽  
Temporalis Muscle Flap ◽  
Joint Ankylosis

Ankylosis is defined as loss of joint movement resulting from fusion of bones within the joint or calcification of the ligaments around it. Satisfactory surgical correction of temporomandibular joint (TMJ) ankylosis is limited by a high recurrence rate. This study aims to show that interposition arthroplasty with temporalis muscle flap improves mouth opening in 6 patients with TMJ ankylosis. Six patients with TMJ ankylosis were treated by interposition arthroplasty. The patients were evaluated between ten and 18 months after surgery. Preand postoperative assessment included a thorough analysis of case history and a physical examination to determine the cause of ankylosis, the maximal incisal opening and type of the ankylosis, recurrence rate and presence of facial nerve paralysis. All 6 patients had unilateral involvement. The mean age was 12.5 years ±6.5 (range 6-19 years). The mouth incisal opening in the preoperative period ranged from 5 mm to 11 mm and in the postoperative period it ranged from 30 mm to 35 mm. No recurrence and no facial palsy were observed in our series. No recurrence was noted, and in all the cases there was type IV ankylosis. Trauma was the major cause of temporomandibular joint ankylosis in our sample. Interpositional arthroplasty is a highly effective and safe surgical management option for TMJ ankylosis with acceptable immediate and long-term outcome, particularly when temporalis fascia and muscle are used.

scholarly journals Unfavourable results in temporomandibular joint ankylosis surgery

2013 ◽  
Vol 46 (02) ◽  
pp. 235-238 ◽  
Author(s):  
Mukund Jagannathan ◽  
Amarnath V. Munoli
Keyword(s):  
Young Adults ◽  
Temporomandibular Joint ◽  
Interposition Arthroplasty ◽  
Tmj Ankylosis ◽  
Temporomandibular Joint Ankylosis ◽  
Children And Young Adults ◽  
Mandibular Retrusion ◽  
Joint Ankylosis

ABSTRACTTemporomandibular joint (TMJ) ankylosis is a debilitating condition usually afflicting children and young adults. Treatment is surgical, i.e., release of the ankylosed joint/s with or without interposition arthroplasty and correction of secondary deformities (mandibular retrusion and asymmetry) This article deals with identifying potential setbacks in TMJ ankylosis surgery and preventing them.

scholarly journals Temporomandibular Joint Ankylosis with Maxillary Extension: Proposal for Modification of Sawhney's Classification

2018 ◽  
Vol 2 (1) ◽  
pp. s-0038-1666852
Author(s):  
Ramat Oyebunmi Braimah ◽  
Abdurrazaq Olanrewaju Taiwo ◽  
Adebayo Aremu Ibikunle ◽  
Taoheed Oladejo ◽  
Mike Adeyemi ◽  
...  
Keyword(s):  
Temporomandibular Joint ◽  
Poor Quality ◽  
Age Group ◽  
Loss Of Function ◽  
Female Ratio ◽  
Tmj Ankylosis ◽  
Cancrum Oris ◽  
Temporomandibular Joint Ankylosis ◽  
Joint Pathology ◽  
Joint Ankylosis

Temporomandibular joint (TMJ) is a unique joint in which both jaws must open synchronously for function. Any pathology in one or both joints results in functional problems with associated poor quality of life. TMJ ankylosis (TMJA) is a joint pathology as a result of bony and/or fibrous adhesion of the joint apparatus, resulting in partial or total loss of function. This is a retrospective study from two tertiary referral centers in northwest region of Nigeria from 2012 to 2016. Data retrieved include gender, age, etiology of ankylosis, duration of ankylosis, laterality of ankylosis, type of imaging technique, type of airway management, types of incision, surgical procedure, interpositional materials used, and complications. Data were analyzed using SPSS for Window version 20.0 (IBM Corp.). Results were presented as simple frequencies and descriptive statistics. A total of 36 patients with TMJA were seen during the study period; out of which 7 (19.4%) patients had maxillary extension of the ankylotic mass. There was a male: female ratio of 1.3:1. Four (57.1%) patients were within the age group between 5 and 10 years, two (28.6%) within the age group between 11 and 15 years, while only one (14.3%) was within the age group between 31 and 35 years. All the cases (7 [100%]) of maxillary extension were secondary to cancrum oris (noma). Cheek scarring as a result of management of cancrum oris was observed. In addition, intraoral fibrosis eliminating the upper and lower buccal sulci extending to the molar regions was also noted. With the involvement of the maxilla in the ankylotic mass, the authors have proposed modification of Sawhney's classification by the addition of Class V. The authors have suggested a name for the new classification to be “Modified Sawhney's Classification of Temporomandibular Joint Ankylosis”. Aggressive postoperative physiotherapy for a sufficient period of time (minimum of 6 months) is paramount.

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 Experience with Blind Nasotracheal Intubation for Temporomandibular Joint Ankylosis at Mayo Hospital, Lahore

2016 ◽  
Vol 9 (4) ◽  
Author(s):  
Khalid Javed ◽  
Ambrin Amjad ◽  
Muhammad Abdul Aziz
Keyword(s):  
Temporomandibular Joint ◽  
Nasotracheal Intubation ◽  
Fiberoptic Intubation ◽  
Nasal Intubation ◽  
Corrective Surgery ◽  
Tmj Ankylosis ◽  
Airway Control ◽  
Temporomandibular Joint Ankylosis ◽  
Retrograde Intubation ◽  
Joint Ankylosis

Temporomandibular joint ankylosis presents a serious problem for airway management. Alternate or additional technique of airway control are required in this condition. Different options include blind nasotracheal intubation, fiberoptic intubation, retrograde intubation or tracheostomy. Moreover, the patient could be awake or asleep. The purpose of our study was to describe our experience with blind nasotracheal intubation after induction of general anesthesia with spontaneous ventilation in patients of temporomandibular ankylosis presenting for corrective surgery. This experience was gained on all the patients of temporomandibular joint ankylosis presenting to fasciomaxillary department at Mayo Hospital, Lahore over a period of 1 1/2 years. The surgery done was gap arthroplasty with genioplasty. Thirty six patients (male:24, female: 12) with age ranging between 3 years to 25 years with a mean of 12.56 years were studied. All the patients received premedication with atropine 10mg/kg body weight to dry up secretion. Patients were deeply anaesthetized with Halothane, Nitrous oxide with 50% oxygen. Thirty four patients were successfully intubated. Blind nasal intubation failed in 2 patients. The successful blind nasotracheal intubation for surgery for TMJ ankylosis needs adequately and deeply anaesthetized patients, relatively small well lubricated endotracheal tube passed through patent naris with atropine as premedication.

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