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Oral and Maxillofacial Surgery

Published in:

01-12-2009 | Original Article

Treatment of temporomandibular joint ankylosis: gap and interpositional arthroplasty with temporalis muscle flap

Authors: Mohammad Bayat, Amirali Badri, Nima Moharamnejad

Published in: Oral and Maxillofacial Surgery | Issue 4/2009

Abstract

Purpose

The purpose of this study was to examine the effectiveness of gap and interpositional arthroplasty with temporalis muscle flap in the treatment of the temporomandibular joint (TMJ) ankylosis.

Materials and methods

This retrospective study was evaluated on 34 patients who were treated from February 2003 to July 2007. Diagnosis of TMJ ankylosis was based upon the clinical examination and plain radiography and CT scan. Eight patients (23.5%) had bilateral TMJ ankylosis, and four patients had reankylosis (that had been operated in another center). Trauma was the most etiological factor (88.2%) and osteochondroma of the condyle in one patient caused ankylosis.

Results

Means of maximum mouth opening before and after operation were 5.00 (SD) 3.45 mm and 32.85 (SD) 5.51 mm, respectively. Reankylosis in two patients (5.9%) and facial nerve dysfunction in 12 surgery sides (28.5%) were noted.

Conclusion

The findings of this study suggest that the gap arthroplasty with temporalis muscle flap as interpositional graft is an effective method in the treatment of TMJ ankylosis. The osteoarthrectomy of the callus to create at least 10 mm gap and enough bulk of temporalis muscle flap as interpositional graft followed by at least a 6-month physiotherapy which play an important role in prevention of reankylosis.

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Title: Treatment of temporomandibular joint ankylosis: gap and interpositional arthroplasty with temporalis muscle flap
Authors: Mohammad Bayat
Amirali Badri
Nima Moharamnejad
Publication date: 01-12-2009
Publisher: Springer-Verlag
Published in: Oral and Maxillofacial Surgery / Issue 4/2009
Print ISSN: 1865-1550
Electronic ISSN: 1865-1569
DOI: https://doi.org/10.1007/s10006-009-0174-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Treatment of temporomandibular joint ankylosis: gap and interpositional arthroplasty with temporalis muscle flap

Abstract

Purpose

Materials and methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Materials and methods

Results

Conclusion

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