Author/Authors :
Candirli, Celal Karadeniz Teknik Üniversitesi - Diş Hekimliği Fakültesi - Ağız, Diş, Çene Hastalıkları ve Cerrahisi Anabilim Dalı, Turkey , Taskesen, Fatih Karadeniz Teknik Üniversitesi - Diş Hekimliği Fakültesi - Ağız, Diş, Çene Hastalıkları ve Cerrahisi Anabilim Dalı, Turkey , Dayısoylu, Ezer Hamza Karadeniz Teknik Üniversitesi - Diş Hekimliği Fakültesi - Ağız, Diş, Çene Hastalıkları ve Cerrahisi Anabilim Dalı, Turkey
Abstract :
Objectives: The aim of this study is to introduce our initial clinical experience in the operative management of temporomandibular joint (TMJ) ankylosis. Materials and Methods: This retrospective study assessed 8 patients with TMJ ankylosis who underwent different surgical procedures. Gap arthroplasty with temporalis muscle and fascia flap repositioning was performed in 6 patients, transport distraction osteogenesis was performed to form a neocondyle in one patient, and TMJ prosthesis was replaced in one patient. Patients were followed weekly at first month and at 3^rd, 6^th, 12^th, and 24^th month postoperatively. Patients were evaluated in terms of maximum interincisal opening and occlusal stability in each appointment. Results: Mean preoperative Maximum interincisal opening (MIO) of 11 mm (2-14 mm) improved to 31mm (26-35 mm). All patients had satisfactory mandibular motions 2 years after the operation and reankylosis was not observed in any patient. Conclusions: Radiological and clinical evaluation should be carefully performed to avoid possible intraoperative and postoperative complications in the management of TMJ ankylosis. Consistent with the literature, it was observed in this study that temporalis musculofascial flap repositioning is successful to avoid reankylosis.
