TMJ ANKYLOSIS: MANAGEMENT WITH RECONSTRUCTION AND INTERPOSITIONAL ARTHROPLASTY

Singh Madhumati, Shruthi R, Sojitra Mitul, Karan Abhishek, Abdul Azi

Available online Jul 19, 2018.

[ Report ] Volume 24, Issue 4, 2015, Pages 374-379


Abstract

Temporomandibular joint (TMJ) ankylosis is a very desolating structural condition that involves fusion of the
1 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
2 block (arthroplasty)or interpositional arthroplasty using autogenous or alloplastic materials. Early mobilization,
3 physiotherapy & strict follow up are essential to prevent postop adhesions.
In our cases fascia lata was used as an interpositional grafting material. One case was treated bygap arthroplasty,
second case by costochondral graft & third case was managed with titanium condylar prosthesis.


Keywords

Temporomandibular joint ankylosis, costochondral graft, titanium condylar prosthesis, gap arthroplasty,

October -December 2015

Volume 24 | Issue 4

Page Nos. 374-379

Online since Jul 12, 2018

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