CC BY-NC-ND 4.0 · Eur J Dent 2012; 06(03): 318-323
DOI: 10.1055/s-0039-1698967
Original Article
Dental Investigation Society

Surgical treatment of posttraumatic ankylosis of the TMJ with different pathogenic mechanisms

Timucin Baykul
a   Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Suleyman Demirel University
,
Mustafa Asim Aydin
b   Department of Plastic, Reconstructive and Aesthetic Surgery, Faculty of Medicine, Suleyman Demirel University
,
Serdar Nazif Nasir
b   Department of Plastic, Reconstructive and Aesthetic Surgery, Hacettepe University
,
Orcun Toptas
a   Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Abant İzzet Baysal University
› Author Affiliations
Further Information

Publication History

Publication Date:
30 September 2019 (online)

ABSTRACT

Objectives: Posttraumatic ankylosis of the TMJ can be caused by many different pathogenic mechanisms. Prosthetic alloplastic grafts and autogenous grafts are the options for surgical treatment.

Methods: Seven patients were examined clinically and radiologically. Autogenous interpositioners were used for treatment of TMJ ankylosis.

Results: No major complications were seen after surgery. Interincisal distances have significantly widened following mouth opening exercises for one year.

Conclusions:Human skulls have many structure and shape differences, so it is difficult to replace a jaw joint successfully with an artificial one. Using autogenous tissues seems an appropriate choice for treatment. (Eur J Dent 2012;6:318-323)

 
  • References

  • 1 Guarda-Nardini L, Manfredini D, Ferronato G. Temporomandibular joint total replacement prosthesis: current knowledge and considerations for the future. Int J Oral Maxillofac Surg 2008;37:103-110.
  • 2 Guven O. A clinical study on temporomandibular joint ankylosis. Auris Nasus Larynx 2000;27:27-33.
  • 3 Zhi K, Ren W, Zhou H, Gao L, Zhao L, Hou C, Zhang Y. Management of temporomandibular joint ankylosis: 11 years' clinical experience. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009;108:687-692.
  • 4 Guven O. A clinical study on temporomandibular joint ankylosis in children. J Craniofac Surg 2008;19:1263-1269.
  • 5 Sporniak-Tutak K, Janiszewska-Olszowska J, Kowalczyk R. Management of temporomandibular ankylosis--compromise or individualization--a literature review. Med Sci Monit 2011;17:RA111-116.
  • 6 Miyamoto H, Kurita K, Ogi N, Ishimaru JI, Goss AN. The role of the disk in sheep temporomandibular joint ankylosis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1999;88:151-158.
  • 7 Gundlach KK. Ankylosis of the temporomandibular joint. J Craniomaxillofac Surg 2010;38:122-310.
  • 8 Miyamoto H, Kurita K, Ogi N, Ishimaru JI, Goss AN. Effect of limited jaw motion on ankylosis of the temporomandibular joint in sheep. Br J Oral Maxillofac Surg 2000;38:148-153.
  • 9 Li Z, Li ZB, Li JR. Surgical management of posttraumatic temporomandibular joint ankylosis by functional restoration with disk repositioning in children. Plast Reconstr Surg 2007;119:1311-1316.
  • 10 Roychoudhury A, Parkash H, Trikha A. Functional restoration by gap arthroplasty in temporomandibular joint ankylosis: a report of 50 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1999;87:166-169.
  • 11 Bello SA, Aluko Olokun B, Olaitan AA, Ajike SO. Aetiology and presentation of ankylosis of the temporomandibular joint: report of 23 cases from Abuja, Nigeria. Br J Oral Maxillofac Surg 2012;50:80-84.
  • 12 Su-Gwan K. Treatment of temporomandibular joint ankylosis with temporalis muscle and fascia flap. Int J Oral Maxillofac Surg 2001;30:189-193.
  • 13 Meng FW, Zhao JL, Hu KJ, Liu YP. A new hypothesis of mechanisms of traumatic ankylosis of temporomandibular joint. Med Hypotheses 2009;73:92-93.
  • 14 Valentini V, Vetrano S, Agrillo A, Torroni A, Fabiani F, Iannetti G. Surgical treatment of TMJ ankylosis: our experience (60 cases). J Craniofac Surg 2002;13:59-67.
  • 15 Liu CK, Liu P, Meng FW, Deng BL, Xue Y, Mao TQ, Hu KJ. The role of the lateral pterygoid muscle in the sagittal fracture of mandibular condyle (SFMC) healing process. Br J Oral Maxillofac Surg 2012;50:356-360, Epub 2011 Jul 29.
  • 16 Koumoura F, Papakosta V. A serious complication in the temporomandibular region due to insufficient follow-up. Orthodontics (Chic.) 2011;12:134-139.
  • 17 Abramowicz S, Dolwick MF, Lewis SB, Dolce C. Temporomandibular joint reconstruction after failed teflon-proplast implant: case report and literature review. Int J Oral Maxillofac Surg 2008;37:763-767.
  • 18 Kearns GJ, Perrott DH, Kaban LB. A protocol for the management of failed alloplastic temporomandibular joint disc implants. J Oral Maxillofac Surg 1995;53:1240-1247; discussion 1248-1249.
  • 19 Wolford LM, Cottrell DA, Henry CH. Temporomandibular joint reconstruction of the complex patient with the Techmedica custom-made total joint prosthesis. J Oral Maxillofac Surg 1994;52:2-10; discussion 11.
  • 20 Saeed N, Hensher R, McLeod N, Kent J. Reconstruction of the temporomandibular joint autogenous compared with alloplastic. Br J Oral Maxillofac Surg 2002;40:296-299.
  • 21 Karaca C, Barutcu A, Baytekin C, Yilmaz M, Menderes A, Tan O. Modifications of the inverted T-shaped silicone implant for treatment of temporomandibular joint ankylosis. J Craniomaxillofac Surg 2004;32:243-246.
  • 22 Sidebottom AJ. Guidelines for the replacement of temporomandibular joints in the United Kingdom. Br J Oral Maxillofac Surg 2008;46:146-147.
  • 23 Speculand B. Current status of replacement of the temporomandibular joint in the United Kingdom. Br J Oral Maxillofac Surg 2009;47:37-41.
  • 24 Sidebottom AJ, Speculand B, Hensher R. Foreign body response around total prosthetic metal-on-metal replacements of the temporomandibular joint in the UK. Br J Oral Maxillofac Surg 2008;46:288-292.
  • 25 Schliephake H, Schmelzeisen R, Maschek H, Haese M. Long-term results of the use of silicone sheets after diskectomy in the temporomandibular joint: clinical, radiographic and histopathologic findings. Int J Oral Maxillofac Surg 1999;28:323-329.
  • 26 Guven O. Treatment of temporomandibular joint ankylosis by a modified fossa prosthesis. J Craniomaxillofac Surg 2004;32:236-242.
  • 27 Medra AM. Follow up of mandibular costochondral grafts after release of ankylosis of the temporomandibular joints. Br J Oral Maxillofac Surg 2005;43:118-122.
  • 28 Lindqvist C, Pihakari A, Tasanen A, Hampf G. Autogenous costochondral grafts in temporo-mandibular joint arthroplasty. A survey of 66 arthroplasties in 60 patients. J Maxillofac Surg 1986;14:143-149.
  • 29 Ross RB. Costochondral grafts replacing the mandibular condyle. Cleft Palate Craniofac J 1999;36:334-339.
  • 30 Singh V, Verma A, Kumar I, Bhagol A. Reconstruction of ankylosed temporomandibular joint: Sternoclavicular grafting as an approach to management. Int J Oral Maxillofac Surg 2011;40:260-265.
  • 31 Clauser L, Curioni C, Spanio S. The use of the temporalis muscle flap in facial and craniofacial reconstructive surgery. A review of 182 cases. J Craniomaxillofac Surg 1995;23:203-214.
  • 32 Smith JA, Sandler NA, Ozaki WH, Braun TW. Subjective and objective assessment of the temporalis myofascial flap in previously operated temporomandibular joints. J Oral Maxillofac Surg 1999;57:1058-1065; discussion 1065-1057.