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Temporomandibular joint ankylosis

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https://www.readbyqxmd.com/read/27891496/interpositional-gap-arthroplasty-by-versatile-pedicled-temporalis-myofascial-flap-in-the-management-of-temporomandibular-joint-ankylosis-a-case-series-study
#1
Vikas Aneja, Rushik Raval, Anupam Bansal, Vinod Kumawat, Jasleen Kaur, Ahemer Arif Shaikh
Temporomandibular Joint (TMJ) ankylosis is a situation in which the mandibular condyle is fused to the glenoid fossa by bone or fibrous tissue. The management of TMJ ankylosis has a complicated chore and it is challenging for the maxillofacial surgeon because of technical hitches and high rate of re-ankylosis. Interpositional gap arthroplasty is one of the modalities for its management. A range of inter-positional materials have been used to avert recurrence after gap arthroplasty in TMJ ankylosis. The aim of this series was to evaluate the effectiveness of the temporomyofacial flap in the treatment of TMJ ankylosis as an interpositional gap arthroplasty...
October 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27871523/intraoperative-mandibular-nerve-block-with-peripheral-nerve-stimulator-for-temporomandibular-joint-ankylosis
#2
Nishant Kumar, Rashi Sardana, Ranvinder Kaur, Aruna Jain
We describe the use of peripheral nerve stimulator for mandibular nerve block intraoperatively in a 4.5year old child with complete temporomandibular joint ankyloses. The block was not possible preoperatively, therefore, it was administered after release of ankyloses. The use of peripheral nerve stimulator increased the chances of a successful block. No intraoperative analgesics and muscle relaxants were required. Postoperative pain relief was excellent. Peripheral nerve stimulator is an easy way of for accurate needle tip placement for mandibular nerve block in patients with distorted anatomy...
December 2016: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/27833705/post-ankylotic-temporomandibular-joint-reconstruction-using-autogenous-alloplastic-materials-our-protocol-and-treatment-outcomes-in-22-patients
#3
Yogesh Bhardwaj, Saurabh Arya
The purpose of this study was to evaluate the various options of autogenous and alloplastic reconstruction modalities available for posttraumatic temporomandibular joint (TMJ) ankylosis. In a retrospective study of 22 patients, various autogenous/alloplastic materials were used based on type and severity of ankylosis and age of patient. Final outcome of reconstruction was critically evaluated in terms of maximal mouth opening, occlusion, and facial symmetry. Fourteen patients (63.63%) developed TMJ ankylosis due to road traffic accidents and eight patients (36...
November 2016: Craniomaxillofacial Trauma & Reconstruction
https://www.readbyqxmd.com/read/27816417/tmj-arthritis-is-a-frequent-complication-of-otomastoiditis
#4
Romain Luscan, Kahina Belhous, Francois Simon, Nathalie Boddaert, Vincent Couloigner, Arnaud Picard, Natacha Kadlub
INTRODUCTION: Septic arthritis of the temporomandibular joint (TMJ) is a rare condition known to result in significant morbidity if diagnosis is delayed. Acute otomastoiditis is a typical complication of acute otitis media but few cases of acute otomastoiditis complicated with TMJ arthritis have been reported in the international literature. Furthermore, otomastoiditis reports and studies rarely analyzed TMJ CT scans. The aim of this study was to determine the incidence of TMJ arthritis in acute otomastoiditis, based on the analysis of CT scans...
October 4, 2016: Journal of Cranio-maxillo-facial Surgery
https://www.readbyqxmd.com/read/27774442/the-sequential-management-of-recurrent-temporomandibular-joint-ankylosis-in-a-growing-child-a-case-report
#5
Jung-Won Cho, Jung-Hyun Park, Jin-Woo Kim, Sun-Jong Kim
BACKGROUND: Temporomandibular joint (TMJ) ankylosis in children often leads to facial deformity, functional deficit, and negative influence of the psychosocial development, which worsens with growth. The treatment of TMJ ankylosis in the pediatric patient is much more challenging than in adults because of a high incidence of recurrence and unfavorable growth of the mandible. CASE REPORT: This is a case report describing sequential management of the left TMJ ankylosis resulted from trauma in early childhood...
December 2016: Maxillofacial Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/27672618/post-traumatic-bifid-mandibular-condyle-a-case-report-and-literature-review
#6
Min-Ho Woo, Kyu-Ho Yoon, Kwan-Soo Park, Jae-An Park
Bifid mandibular condyle (BMC) is an uncommon morphological variant of the mandibular condyle. Although authors have proposed various etiologies for BMC, no consensus has emerged. In addition, varying findings have been reported regarding the epidemiological parameters of BMC (e.g., prevalence, gender ratio, and age), possibly due to its low incidence. BMC is occasionally associated with symptoms of the temporomandibular joint, such as ankylosis, pain, and trismus; however, it is difficult to detect this condition on conventional radiographs...
September 2016: Imaging Science in Dentistry
https://www.readbyqxmd.com/read/27658755/a-comparative-study-of-different-surgical-methods-in-the-treatment-of-traumatic-temporomandibular-joint-ankylosis
#7
F Xu, L Jiang, C Man
Two different surgical methods for the treatment of unilateral traumatic temporomandibular joint (TMJ) ankylosis with a medially displaced residual condyle are described. Eighteen patients with unilateral traumatic TMJ ankylosis and a medially displaced residual condyle, treated between 2008 and 2013, were included in this study. Group A patients (n=10) were treated with an autogenous coronoid process graft (ACPG) for reconstruction of the mandibular condyle, while group B patients (n=8) were treated by lateral arthroplasty (LAP); a temporalis myofascial flap (TMF) was used as interpositional material in both groups...
September 19, 2016: International Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/27614813/surgical-correction-without-bone-grafts-of-maxillofacial-asymmetric-deformities-in-patients-treated-for-unilateral-temporomandibular-joint-ankylosis
#8
Yao Liu, Wen Du, Jing Hu, Chuhang Liao, Wei Fei, En Luo
OBJECTIVE: With the inclusion criteria of patients confirmed and the therapeutic effects and stability evaluated, this article presents the clinical value of bimaxillary orthognathic surgery without bone graft of maxillofacial asymmetric deformities in patients treated for unilateral temporomandibular joint (TMJ) ankylosis. STUDY DESIGN: From 2008 to 2012, 12 patients with dentomaxillofacial asymmetric deformities secondary to unilateral TMJ ankylosis who had undergone TMJ reconstruction as the primary surgery were included in the study...
November 2016: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
https://www.readbyqxmd.com/read/27582054/acute-trauma-induced-disc-displacement-without-reduction-and-its-sequelae
#9
DongMei He, XiuJuan Yang, FeiYu Wang, Chi Yang, MinJun Dong
Acute traumatic temporomandibular joint disc displacement (ATDD) and its sequelae are not familiar for most surgeons. This study is to discuss its sequelae in cases without disc reduction after failed conservative treatment. From 2010 to 2015, 26 patients with 34 joints were included in the study. All patients had at least 3 months conservative treatment. Their maximal incisor opening (MIO) was measured during follow-ups and MRI examination was used to check the condylar bone degeneration. The mean follow-up for conservative treatment after admission was 8...
2016: Scientific Reports
https://www.readbyqxmd.com/read/27566458/total-alloplastic-joint-reconstruction-in-a-patient-with-temporomandibular-joint-ankylosis-following-condylar-dislocation-into-the-middle-cranial-fossa
#10
Ephraim R Rikhotso, Muhammad A Bobat
PURPOSE: Traumatic dislocation of the mandibular condyle into the middle cranial fossa is an extremely rare complication of maxillofacial injury. Management case of the of dislocation of the mandibular condyle complicated by bilateral temporomandibular joint ankylosis is presented. MATERIALS AND METHODS: A 17year old male patient presented to the outpatient clinic complaining of inability to open his mouth following a motor vehicle accident 6 months prior. Examination revealed bilateral TMJ ankylosis following left condylar head fracture and dislocation of the right condylar head into the middle cranial fossa...
December 2016: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/27563622/a-multidisciplinary-approach-to-the-management-of-temporomandibular-joint-ankylosis-in-a-sickle-cell-anemia-patient-in-a-resource-limited-setting
#11
Ramat Oyebunmi Braimah, Taoreed Oladejo, Timothy Oyetunde Olarinoye, Adedapo Omowonuola Adetoye, Patrick Olanrewaju Osho
This report describes the multidisciplinary management of a 35-year-old female sickle-cell anemia patient who had unilateral bony ankylosis of the left temporomandibular joint secondary to septic arthritis. She was managed by a team comprising of maxillofacial surgeons, anesthetists, otorhinolaryngologist, and hematologist. Unilateral left interpositional arthroplasty and ipsilateral coronoidectomy through a postrami approach were done and followed by aggressive jaw physiotherapy in the postsurgical period...
January 2016: Annals of Maxillofacial Surgery
https://www.readbyqxmd.com/read/27563617/zurich-pediatric-distractor-for-ramal-condylar-unit-distraction-in-temporomandibular-joint-ankylosis
#12
Brig N K Sahoo, I D Roy, Rohit Sharma, Maj Preeti Kaur
Temporomandibular joint (TMJ) Ankylosis is an extremely disabling condition characterized by difficulty or inability to open the mouth resulting in facial asymmetry, malocclusion and dental problems. Surgical excision of the ankylosed mass is the only treatment option available to gain mouth opening. The loss in vertical height of ramus following release of ankylosis is difficult to manage in both unilateral and bilateral TMJ ankylosis. Out of all the methods to restore this height Distraction Osteogenesis (DO) is gaining popularity because of predictable gain in the length without any associated morbidity...
January 2016: Annals of Maxillofacial Surgery
https://www.readbyqxmd.com/read/27563611/distraction-osteogenesis-in-the-treatment-of-temporomandibular-joint-ankylosis-with-mandibular-micrognathia
#13
Girish B Giraddi, Kirti Arora, A J Sai Anusha
AIMS: The aims of the study were to evaluate the efficacy of simultaneous interpositional arthroplasty with distraction osteogenesis (DO) as a single procedure and to give the patient acceptable functional rehabilitation with correction of the gross facial asymmetry. MATERIALS AND METHODS: Nine patients of temporomandibular joint (TMJ) ankylosis with micrognathia were treated with interpositional arthroplasty and simultaneous DO and followed for a period of minimum 3 years...
January 2016: Annals of Maxillofacial Surgery
https://www.readbyqxmd.com/read/27563608/retrospective-evaluation-of-airway-management-with-blind-awake-intubation-in-temporomandibular-joint-ankylosis-patients-a-review-of-48-cases
#14
Duraiswamy Sankar, Radhika Krishnan, Muthusubramanian Veerabahu, Bhaskara Pandian Vikraman, J A Nathan
AIM: The aim was to determine the morbidity or mortality associated with the blind awake intubation technique in temporomandibular ankylosis patients. SETTINGS AND DESIGN: A total of 48 cases with radiographically and clinically confirmed cases of temporomandibular joint (TMJ) ankylosis were included in the study for evaluation of anesthetic management and its complications. MATERIALS AND METHODS: Airway assessment was done with standard proforma including Look externally, evaluate 3-3-2 rule, Mallampati classification, Obstruction, Neck mobility (LEMON) score assessment in all TMJ ankylosis patients...
January 2016: Annals of Maxillofacial Surgery
https://www.readbyqxmd.com/read/27487617/tmj-ankylosis-management-with-reconstruction-and-interpositional-arthroplasty
#15
Singh Madhumati, R Shruthi, Sojitra Mitul, Abhishek Karan, Abdul Aziz
Temporomandibular joint (TMJ) ankylosis is a very desolating structural condition that involves fusion of the mandibular condyle to the base of the skull. It causes difficulty in mastication and breathing. Trauma and Infections are usually responsible. If trauma occurs in young age, it leads to disturbance in growth & facial asymmetry. Treatment of temporomandibular joint (TMJ) ankylosis usually requires adequate excision of the involved ankylotic block (arthroplasty) or interpositional arthroplasty using autogenous or alloplastic materials...
October 2015: Nigerian Journal of Medicine: Journal of the National Association of Resident Doctors of Nigeria
https://www.readbyqxmd.com/read/27473929/temporomandibular-joint-ankylosis-after-condylar-dislocation-into-the-middle-cranial-fossa-a-case-report
#16
G M Zamorano, L F Nuñez, L A Alvarez, F A Otayza, M A Fernández, F Donoso-Hofer
INTRODUCTION: Dislocation of the mandibular condyle into the middle cranial fossa after a trauma is a rare event. The lack of appropriate treatment can lead to ankylosis of the temporomandibular joint (TMJ). We report about a case of TMJ ankylosis following intracranial dislocation of the mandibular condyle through the roof of the articular fossa. CASE REPORT: A 9-year-old patient was referred for a severe limitation of mouth opening that began progressively one year before...
July 26, 2016: Revue de Stomatologie, de Chirurgie Maxillo-faciale et de Chirurgie Orale
https://www.readbyqxmd.com/read/27439984/ankylosis-and-pseudoankylosis-of-the-temporomandibular-joint-in-10-dogs-1993-2015
#17
Peter C Strøm, Boaz Arzi, Derek D Cissell, Frank J M Verstraete
OBJECTIVE: To describe the clinical features and results of treatment of true ankylosis and pseudoankylosis of the temporomandibular joint in dogs. METHODS: This study was a retrospective case series. Ten client-owned dogs that were presented for inability to open the mouth or a severely decreased range of motion of the temporomandibular joint were included. Information on the surgical procedures performed and the perioperative complications were documented. Three-dimensional printing of the skull was performed in four dogs...
September 20, 2016: Veterinary and Comparative Orthopaedics and Traumatology: V.C.O.T
https://www.readbyqxmd.com/read/27348948/minimally-invasive-treatment-of-temporomandibular-joint-ankylosis-and-fibrosis-of-temporalis-muscle
#18
Jungsuk Cho, James Y Kim, Michael T Wotman, David A Behrman, Howard Israel
A case of severe mandibular hypomobility due to fibrosis of the left temporalis tendon, combined with ankylosis of the temporomandibular joint, is presented. This case emphasizes the importance of reconstructing the historical timeline to establish a correct diagnosis, ultimately leading to appropriate treatment. The use of minimally invasive surgical techniques and the importance of postoperative rehabilitation are emphasized.
April 2016: New York State Dental Journal
https://www.readbyqxmd.com/read/27315318/bilateral-temporomandibular-joint-replacement-using-computer-assisted-surgical-simulation-and-three-dimensional-printing
#19
Jaeyoung Ryu, Jinyong Cho, Hyeon Min Kim
The dental occlusion is the important reference for replacement of the temporomandibular joint. If a patient does not have normal occlusion, few considerations are needed for temporomandibular joint replacement. The custom-made prosthesis, typically fabricated with a stereolithographic model, is probably the optimized solution currently available. However the ready-made stock from Biomet Microfixation System (Jacksonville, FL) is the only available product, which is authorized by the government ministry in South Korea, for replacement of the temporomandibular joint...
July 2016: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/27298541/fate-of-costochondral-graft-in-temporomandibular-joint-reconstruction-a-histological-study
#20
C Prasad, G Uma Maheswari, D Karthikeyan
OBJECTIVE: To asses the fate of the costochondral graft (CCG) used to stimulate mandibular growth in the management of Temporomandibular joint (TMJ) reconsrtuction in ankylosis-histologically. MATERIALS AND METHODS: Ten patients who had undergone CCG grafting for TMJ ankylosis between 1994-2009 in the department of Oral & Maxillofacial Surgery, Tamil Nadu Govt Dental College and Hospital, Chennai and had come back with reankylosis, were surgically explored and the graft along with the ankylotic mass was excised and evaluated histologically...
June 2016: Journal of Maxillofacial and Oral Surgery
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