Authors: Ravinder Singh Bedi Upasana Khemka Jaipal Singh Manoj Yadav Pratibha Singh
Publish Date: 2016/07/23
Volume: 16, Issue: 2, Pages: 219-225
Abstract
Many surgical techniques have been described for the treatment of TMJ ankylosis but no strategy has been uniformly agreed upon underscoring the difficulty of the problem Despite new guidelines and updated methods treating patients with TMJ Ankylosis remains a challenge as the incidence of recurrence after treatment is soaring This study exemplifies our experience in using an unsullied method to treat TMJ Ankylosis to restore the structure of TMJ in conjunction with convalescing secondary maxillofacial deformityA total of 56 cases of unilateral bony TMJ ankylosis were included in the study and postoperative results of TMJ disc as a soft tissue interposition graft was evaluated The operative protocol comprised of 1 resection of ankylotic mass 2 intraoral ipsilateral coronoidectomy or contralateral coronoidectomy when needed 4 interpositioning disc as soft tissue graft 5 interposing and fixing sternoclavicular or costocondral graft with lag screws and 6 early mobilization aggressive physiotherapyThe study assessed patients with regular follow‐up checks for a period of 3 years The average preoperative mouth opening was found to be 546 mm range 2–10 mm Mean postoperative mouth opening was 3305 mm range 24–43 mm while 3 years post operative mouth opening mean was 3975 mm No cases of reankylosis were reported during this period suggesting it as a viable and satisfactory approach
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