共 24 条
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.
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页码:E520 / E524
页数:6
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