Early diagnostics of temporomandibular joint structural elements injures caused by traumatic mandibular bone fractures

2017 ◽  
Vol 89 (3) ◽  
pp. 31-35 ◽  
Author(s):  
Kh. R. Pohranychna ◽  
A.R. Stasyshyn ◽  
U.D. Matolych
Keyword(s):  
Temporomandibular Joint ◽  
Bone Fractures ◽  
Tissue Injury ◽  
Mandibular Condyle ◽  
Mouth Opening ◽  
Mandibular Fractures ◽  
Structural Elements ◽  
Magnetic Resonance Imaging Mri ◽  
Condylar Fractures ◽  
Joint Ankylosis

A rapidly increasing number of mandibular condylar fractures and some complications related to injuries of temporomandibular elements make this study important. Intra-articular disorders lead to secondary pathological findings such as osteoarthritis, deforming osteoarthrosis, and temporomandibular joint ankylosis that limits mouth opening, mastication, swallowing, breathing, and decreased/lost working capacity or disability. Early diagnosis of intra-articular disorders can prevent from long-lasting functional complications caused by temporomandibular joint injuries. This study was performed for the purpose of early detection and investigation of organic pathological changes in the cartilaginous and osseous tissues of the temporomandibular joint caused by traumatic fractures of the mandibular condyle. Twenty patients underwent a general clinical examination, magnetic resonance imaging (MRI), and immune-enzyme testing for biochemical markers of connective tissue injury (pyridinoline and deoxypyridinoline) in urine. Disk dislocation, deformation, adhesion, perforation or squeeze, tension or disruption of ligaments, and injury of articular surfaces are among complications of mandibular fractures that can be revealed on MRI. As regards biochemical findings, we revealed a sharp rise in the levels of pyridinoline and deoxypyridinoline before treatment and a lack of stabilization within 21 days of treatment.

scholarly journals Treatment of bilateral ankylosis of the temporomandibular joint with temporalis superficial fascia interpositional flap

2007 ◽  
Vol 19 (1) ◽  
Author(s):  
Harmas Yazid Yusuf ◽  
Alwin Kasim ◽  
Tis Karasutisna
Keyword(s):  
Temporomandibular Joint ◽  
Bone Fractures ◽  
Mandibular Condyle ◽  
Mouth Opening ◽  
Early Mobilization ◽  
Sports Injury ◽  
Functional Results ◽  
Superficial Fascia ◽  
Skull Trauma ◽  
Base Of The Skull

Ankylosis of the temporomandibular joint (TMJ) involves fusion of the mandibular condyle to the base of the skull. Trauma and infection are the leading causes of ankylosis. A case of true bilateral ankylosis of the temporomandibular joint is presented. A 21-year-old male patient had a multiple bone fractures history at the age of 13 due to a sports injury. A TMJ injury might not be detected at that time resulting in a progressive restriction of his mouth opening. He presented with almost complete lack of mobility of the mandible. Surgical treatment was a resection of the ankylotic bone mass, interposition temporalis superficial fascia flaps, and early mobilization and aggressive physiotherapy. The functional results showed good remarks.

scholarly journals Temporomandibular Joint (TMJ) Ankylosis Resection to Total Joint replacement – 30 Years Journey

2021 ◽  
Vol 33 (2) ◽  
Keyword(s):  
Temporomandibular Joint ◽  
Joint Replacement ◽  
Total Joint Replacement ◽  
Articular Surface ◽  
Mandibular Condyle ◽  
Mouth Opening ◽  
Patient Specific ◽  
Mandibular Fractures ◽  
Tmj Ankylosis ◽  
Condyle Fracture

Temporomandibular joint (TMJ) ankylosis is an intracapsular union of the disc–condyle complex to the temporal articular surface that confines the mandibular drive, including the fibrous adhesions/ bony fusion between condyle, disc, glenoid fossa, and eminence. It is a severe and incapacitating ailment that can cause mastication, digestion, speech, appearance, and hygiene concerns. This is an unusual case of a 42-year-old adult patient, who suffered from bilateral recurrent TMJ ankylosis and reported following trauma to the face. The patient had a history of mandibular condyle fracture at ten years of age. Excision of existing ankylotic mass followed by reconstruction with patient-specific total joint replacement (TJR) was carried out. Postoperative physiotherapy exercises in the presented case improved patient’s mouth opening, and mandibular movement. Patient-specific TJR procedures and postoperative physiotherapy will be helpful in cases with TMJ ankylosis. Keywords: Genioplasty; Mandibular Condyle; Mandibular fractures; Temporomandibular Ankylosis; Temporomandibular Joint

scholarly journals Acute soft tissue injury to the temporomandibular joint and posttraumatic assessment after mandibular condyle fractures: a longitudinal prospective MRI study

2021 ◽  
Author(s):  
Özlem Akkemik ◽  
Harald Kugel ◽  
Roman Fischbach
Keyword(s):  
Soft Tissue ◽  
Temporomandibular Joint ◽  
Tissue Injury ◽  
Soft Tissue Injury ◽  
Mandibular Condyle ◽  
Subsequent Development ◽  
Soft Tissue Injuries ◽  
Type I ◽  
Closed Treatment ◽  
Condylar Fractures

Objective: Evaluation of acute soft tissue injury of the temporomandibular joint (TMJ) with type I-VI fractures immediately after trauma and investigation of the longitudinal evolution including response to conservative treatment using MRI. Methods: The joints of 24 patients with 33 condylar fractures (15 unilateral, nine bilateral) were imaged on a 1 Tesla MR system within the first 24 h post-trauma. 12 of these patients with 16 condylar fractures (eight unilateral, four bilateral) were clinically re-evaluated using MRI after 3 months of closed treatment. The position, morphology and signal intensities of the disc, capsule, retrodiscal tissue, and osseous structures were documented. Results: In the acute phase, disc displacements (DDs) were diagnosed in 8 out of 33 joints with fracture, including posterior DDs in two joints and tears of the inferior retrodiscal lamina in 11 joints. The follow-up MRI in 12 patients revealed new DD in four joints on the fractured side (FS) including a posterior DD and an increased degree of displacement, and new DDs in two joints in the non-fractured side (NFS). Conclusion: Preexisting and traumatic DD and soft tissue injuries are frequent findings in patients with condylar fracture. Independent of the degree of trauma, condylar fractures may determine the subsequent development of DD on both FS and NFS. Early MR imaging may help initiate well-directed specific measures for better outcomes in the acutely injured TMJ.

Bilateral temporomandibular joint ankylosis as sequel of bilateral fracture of the mandibular condyle and symphysis

2013 ◽  
Vol 18 (1) ◽  
pp. 39-42 ◽  
Author(s):  
Matheus B Benaglia ◽  
Ellen Cristina Gaetti-Jardim ◽  
Janayna G Paiva Oliveira ◽  
Jose Carlos Garcia Mendonça
Keyword(s):  
Temporomandibular Joint ◽  
Mandibular Condyle ◽  
Temporomandibular Joint Ankylosis ◽  
Bilateral Fracture ◽  
Joint Ankylosis

Extraarticular joint ankylosis: a rare presentation

2021 ◽  
Vol 14 (11) ◽  
pp. e244616
Author(s):  
Saurabh Kumar ◽  
Arun Paul Charllu
Keyword(s):  
Temporomandibular Joint ◽  
Mouth Opening ◽  
Rare Condition ◽  
Rare Disorder ◽  
Progressive Decrease ◽  
Rare Presentation ◽  
Diagnosis And Management ◽  
Posterior Maxilla ◽  
Mechanical Interference ◽  
Joint Ankylosis

Pseudoankylosis is a rare condition that causes inability to open the mouth due to condition related to outside of the temporomandibular joint. Most literature refers to this hypomobility disorder, a result of fusion of the zygomatic bone to the coronoid process, and very rarely is insidious coronoid hyperplasia causing mechanical interference with the posterior maxilla has been reported. We present a case of a 45-year-old woman, who presented with coronoid malformation and overgrowth resulting in progressive decrease in mouth opening. She was managed with coronoidectomy, following which good mouth opening was obtained. In this paper we discuss about the diagnosis and management of this rare disorder.

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 Interpositional Arthroplasty for Treatment of ATM Ankylosis

2020 ◽  
Vol 6 (6) ◽  
Author(s):  
Dos Santos FDB ◽  
Braz E ◽  
Matos MR ◽  
Schmitz MO ◽  
Tomazi FHS ◽  
...  
Keyword(s):  
Literature Review ◽  
Temporomandibular Joint ◽  
Temporal Bone ◽  
Mouth Opening ◽  
Functional Disorders ◽  
Condylar Fracture ◽  
Temporomandibular Joint Ankylosis ◽  
Articular Disk ◽  
Image Test ◽  
Joint Ankylosis

Introduction: The temporomandibular joint ankylosis is the union between the surface of the temporal bone in its articular portion and the complex made out of articular disk and the condyle. Its etiology is multifactorial being the trauma with condylar fracture most cited. This alteration causes several functional disorders to the patient, among them the main one is the limitation of mouth opening, which causes difficulty eating, speaking, hygiene, speech and others. The diagnosis is made through a clinic image test. The goal is to show a report of case of ankylosis as well as a literature review.

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