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Journal of Maxillofacial and Oral Surgery

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01-09-2019 | Case Report

Buccal Fat Pad for Interpositional Arthroplasty in Temporomandibular Joint Ankylosis

Authors: Adebayo A. Ibikunle, Olutayo James, Wasiu L. Adeyemo

Published in: Journal of Maxillofacial and Oral Surgery | Issue 3/2019

Abstract

Aim

The buccal fat pad (BPF) is a readily accessible mass of adipose tissue in the oro-maxillofacial region. It is a specialized type of fat tissue that enhances intermuscular motion. It has been used extensively for reconstruction of oral cavity defects with satisfactory outcomes. However, its use as an interpositional material in the management of temporomandibular joint ankylosis is not widespread. This report aims to present our experience with its use as an interpositional tissue in the management of temporomandibular joint ankylosis.

Materials and Methods

A total of four patients who presented with either unilateral or bilateral temporomandibular joint ankylosis were included in this study. Three patients presented with bilateral temporomandibular joint ankylosis while one patient had right unilateral bony ankylosis of the temporomandibular joint. All the patients were treated under general anaesthesia during which airway was maintained intraoperatively using tracheostomy tubes. In all cases, interpositional arthroplasty using BPF as the interpositional material was done.

Results

There were two males and two females with age range between 4 and 24 years and a median age of 12.5 years. Trauma was the aetiological factor in all cases. There were a total of seven ankylosed joints. Autogenous pedicled BPF was used in five joints, while BPF graft was utilized in two joints. Maximal interincisal opening of 35 mm or more was achieved intraoperatively before placement of the BPF in all cases. Immediate postoperative jaw exercise was commenced. Mouth opening remained satisfactory at all postoperative reviews.

Conclusion

Buccal fat pad is a reliable option for interpositional arthroplasty in the management of TMJ ankylosis, and it can be used either as a free graft or as a pedicled flap.

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Title: Buccal Fat Pad for Interpositional Arthroplasty in Temporomandibular Joint Ankylosis
Authors: Adebayo A. Ibikunle
Olutayo James
Wasiu L. Adeyemo
Publication date: 01-09-2019
Publisher: Springer India
Published in: Journal of Maxillofacial and Oral Surgery / Issue 3/2019
Print ISSN: 0972-8279
Electronic ISSN: 0974-942X
DOI: https://doi.org/10.1007/s12663-018-1130-3

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Buccal Fat Pad for Interpositional Arthroplasty in Temporomandibular Joint Ankylosis

Abstract

Aim

Materials and Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Aim

Materials and Methods

Results

Conclusion

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