Two-Stage Total Prosthetic Reconstruction of Temporomandibular Joint in Severe and Recurrent Ankylosis

被引:6
作者
Egemen, Onur [1 ]
Ozkaya, Ozay [1 ]
Filinte, Gaye Taylan [2 ]
Uscetin, Ilker [1 ]
Akan, Mithat [3 ]
机构
[1] Okmeydani Training & Res Hosp, Plast & Reconstruct Surg Clin, Istanbul, Turkey
[2] Dr Lutfi Kirdar Kartal Training & Res Hosp, Plast & Reconstruct Surg Clin, Istanbul, Turkey
[3] Okmeydani Training & Res Hosp, Plast & Reconstruct Surg Clin, Istanbul, Turkey
关键词
TMJ; ankylosis; prosthesis; joint; distraction; FOLLOW-UP; INTERPOSITIONAL MATERIAL; MANAGEMENT; REPLACEMENT; GRAFT;
D O I
10.1097/SCS.0b013e31825b5afd
中图分类号
R61 [外科手术学];
学科分类号
摘要
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.
引用
收藏
页码:E520 / E524
页数:6
相关论文
共 24 条
  • [1] Treatment of temporomandibular joint ankylosis: Gap and interpositional arthroplasty with temporalis muscle flap
    Bayat M.
    Badri A.
    Moharamnejad N.
    [J]. Oral and Maxillofacial Surgery, 2009, 13 (4) : 207 - 212
  • [2] Temporomandibular joint ankylosis: review of thirty-two cases
    Chidzonga, MM
    [J]. BRITISH JOURNAL OF ORAL & MAXILLOFACIAL SURGERY, 1999, 37 (02) : 123 - 126
  • [3] Preserved costal cartilage homograft application for the treatment of temporomandibular joint ankylosis
    Demir, Z
    Velidedeoglu, H
    Sahin, Ü
    Kurtay, A
    Coskunfirat, OK
    [J]. PLASTIC AND RECONSTRUCTIVE SURGERY, 2001, 108 (01) : 44 - 51
  • [4] A clinical study on ankylosis of the temporomandibular joint
    Erol, B
    Tanrikulu, R
    Görgün, B
    [J]. JOURNAL OF CRANIO-MAXILLOFACIAL SURGERY, 2006, 34 (02) : 100 - 106
  • [5] Treatment of tetemporomandibular joint ankylosis and facial asymmetry with bidirectional transport distraction osteogensis technique
    Eski, Muhitdin
    Deveci, Mustafa
    Zor, Fatih
    Sengezer, Mustafa
    [J]. JOURNAL OF CRANIOFACIAL SURGERY, 2008, 19 (03) : 732 - 739
  • [6] Total temporomandibular joint replacement: A clinical case with a proposal for post-surgical rehabilitation
    Guarda-Nardini, Luca
    Manfredini, Daniele
    Ferronato, Giuseppe
    [J]. JOURNAL OF CRANIO-MAXILLOFACIAL SURGERY, 2008, 36 (07) : 403 - 409
  • [7] Ankylosis of the temporomandibular joint
    Gundlach, Karsten K. H.
    [J]. JOURNAL OF CRANIO-MAXILLOFACIAL SURGERY, 2010, 38 (02) : 122 - 130
  • [8] Temporomandibular joint ankylosis: A review of 44 cases
    Jain G.
    Kumar S.
    Rana A.S.
    Bansal V.
    Sharma P.
    Vikram A.
    [J]. Oral and Maxillofacial Surgery, 2008, 12 (2) : 61 - 66
  • [9] A PROTOCOL FOR MANAGEMENT OF TEMPOROMANDIBULAR-JOINT ANKYLOSIS
    KABAN, LB
    PERROTT, DH
    FISHER, K
    [J]. JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 1990, 48 (11) : 1145 - 1151
  • [10] Autogenous auricular cartilage graft in temporomandibular joint ankylosis - An evaluation
    Krishnan B.
    [J]. Oral and Maxillofacial Surgery, 2008, 12 (4) : 189 - 193