Two-stage total prosthetic reconstruction of temporomandibular joint in severe and recurrent ankylosis
Journal of Craniofacial Surgery, cilt.23, sa.5, 2012 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 23 Sayı: 5
- Basım Tarihi: 2012
- Doi Numarası: 10.1097/scs.0b013e31825b5afd
- Dergi Adı: Journal of Craniofacial Surgery
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Anahtar Kelimeler: TMJ, ankylosis, prosthesis, joint, distraction
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Temporomandibular joint ankylosis is a devastating condition for the patient associated with both functional disability and aesthetic deformities. Various techniques have been described in the literature to overcome this problem; however, there is still a high risk of reankylosis in patients undergoing multiple temporomandibular joint operations, severe heterotopic ossification, and fibrosis of the soft tissues. This study includes 5 patients with severe and recurrent ankylosis. Two-stage reconstruction with excision of the bony mass and placement of a distraction device in the first stage, followed by gradual distraction of soft tissues, and placement of a total joint prosthesis in the second stage were performed in all patients. The 2-step approach helps to overcome the fibrosis and adhesions in the soft tissues and allows placing an implant with a higher ramus component. This approach seems to be a useful and effective technique for the management of such patients with high risk of reankylosis. Copyright © 2012 by Mutaz B. Habal, MD.