Temporomandibular Joint Ankylosis: Algorithm of Treatment

Primer Autor
Farina, Rodrigo
Co-autores
Canto, Loreto#Gunckel, Renato#Alister, Juan Pablo#Uribe, Francisca
Título
Temporomandibular Joint Ankylosis: Algorithm of Treatment
Editorial
LIPPINCOTT WILLIAMS & WILKINS
Revista
JOURNAL OF CRANIOFACIAL SURGERY
Lenguaje
en
Resumen
Temporomandibular joint ankylosis, according to age of onset, causes severe functional and morphological disorders, as well as stunted craniofacial growth and development.The primary goal of treatment is to resolve the functional and morphological disorders.Method:Pre- and posttreatment clinical and cephalometric registries were conducted in 15 patients with temporomandibular joint ankylosis over a 10-year period (2002-2012). All the patients underwent complete removal of the ankylotic block, gap arthroplasty, and ipsilateral coronoidectomy. Distraction osteogenesis was performed on 12 patients.Results:Fifteen patients, 8 female and 7 male, ranging from 3 to 30 years of age, were included in this study. The posttreatment follow-up period ranged from 3 to 13 years.The mean preoperative maximum mouth opening was 3 1.7mm, and the mean postoperative maximum mouth opening was 36 6.5mm. The labial inclination with respect to the true horizontal decreased considerably (6.2 degrees +/- 2.3 degrees preoperative to 1 degrees +/- 1.6 degrees postoperative). A correction of the mandibular deviation was measured at the symphysis with respect to the facial midline (8 degrees +/- 2 degrees preoperative to 2 degrees postoperative). Finally, the height ratio of both mandibular rami (the healthy side and the affected side) decreased considerably (1.27 +/- 0.05 preoperative to 1.07 +/- 0.06 postoperative).Reankylosis only occurred in 2 patients, who were then successfully treated by means of gap arthroplasty.Conclusions:The therapeutic algorithm proposed in the present work provides favorable functional and morphological results. Early and aggressive functional physiotherapy is essential to minimize the risk of reankylosis.
Tipo de Recurso
Artículo original
doi
10.1097/SCS.0000000000004134
Formato Recurso
pdf
Palabras Claves
Ankylosis# distraction osteogenesis# gap arthroplasty# mandibular distraction# temporomandibular joint# temporomandibular joint ankylosis# TMJ
Ubicación del archivo
http://dx.doi.org/10.1097/SCS.0000000000004134
Categoría OCDE
Surgery
Materias
Anquilosis# osteogénesis por distracción# artroplastia de brecha# distracción mandibular# articulación temporomandibular# anquilosis de la articulación temporomandibular# ATM
Disciplinas de la OCDE
Odontología, Cirugía y Medicina Oral
Cirugía
Otros Temas de Medicina Clínica
Id de Web of Science
WOS:000427989400074
Título de la cita (Recomendado-único)
Temporomandibular Joint Ankylosis: Algorithm of Treatment
Identificador del recurso (Mandatado-único)
Artículo original
Versión del recurso (Recomendado-único)
version publicada
Editorial
LIPPINCOTT WILLIAMS & WILKINS
Revista/Libro
JOURNAL OF CRANIOFACIAL SURGERY
Categoría WOS
Cirugía
ISSN
1049-2275
Idioma
en
Formato
pdf
Tipo de ruta
hibrida
Access Rights
metadata
Derechos de acceso
metadata
Página de inicio (Recomendado-único)
2603
Página final (Recomendado-único)
2607
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