Assessement of Proplast-Teflon disc replacements

Wagner, Jon; Mosby, Edward L.

doi:10.1016/0278-2391(90)90528-a

Cited by 56 publications

(12 citation statements)

References 6 publications

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“…The problems encountered with the present grafts are: muscle shrinks and fibroses 25 , fascia lacks bulk 21 , cartilage tends to fibrose and calcify 5,30 while alloplastic implants under functional loads disintegrate and cause foreign body giant cell reactions 31,38 . Although temporalis flaps are still the most popular choice of grafts 23,25,33a , dissecting temporalis muscle leads to scar contracture of the donor site 25 which may further exacerbate the trismus unless an ipsilateral coronoidectomy is performed.…”

Section: Discussionmentioning

confidence: 99%

The interpositional dermis-fat graft in the management of temporomandibular joint ankylosis

Dimitroulis

2004

International Journal of Oral and Maxillofacial Surgery

118

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Section: Discussionmentioning

confidence: 99%

The interpositional dermis-fat graft in the management of temporomandibular joint ankylosis

Dimitroulis

2004

International Journal of Oral and Maxillofacial Surgery

118

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“…[9] The problems encountered with the present grafts are: muscle shrinks and fibroses, fascia lacks bulk, cartilage tends to fibrose and calcify while alloplastic implants under functional loads disintegrate and cause foreign body giant cell reactions. [9–12] Although temporalis flaps are still the most popular choice of grafts, dissecting temporalis muscle leads to scar contracture of the donor site which may further exacerbate the trismus unless an ipsilateral coronoidectomy is performed. [1013] The use of autogenous full thickness skin or dermis grafts as interpositional materials has also been published.…”

Section: Discussionmentioning

confidence: 99%

Temporomandibular joint ankylosis fixation technique with ultra thin silicon sheet

Kalra¹,

Kakkar²

2011

Indian J Plast Surg

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Background:Temporomandibular joint ankylosis is a highly distressing condition in which the joint space is obliterated by scar tissue and the patient has an inability to open the mouth. Different autogenous and alloplastic interposition materials have been used after the resection of the ankylotic bone to achieve desirable and long lasting results. The recurrence of disease is most distressing for both patients and surgeon. We have been using ultra thin silicon sheet as our preferred material for providing proper fixation and cover to the joint. We have been encouraged by good patient compliance, no implant extrusion and favourable outcome.Materials and Methods:The clinical study included 80 patients with temporomandibular joint ankylosis, treated between April 2001 and March 2009. In all patients, temporomandibular joint ankylosis had resulted following trauma. Diagnosis was based on clinical assessment supplemented by radiographic examination consisting of a panoramic radiograph, axial and coronal computer tomography. The technique of using ultra thin silicon sheet covering whole of the joint space fixed with non-absorbable nylon 3-0 suture both medially to medial pterygoid muscle and laterally to periosteum of zygomatic arch was employed in all patients.Results:A total of 80 patients were in this study (59 males and 21 females). The aetiology of temporomandibular joint ankylosis was post-traumatic in all cases. The patients’ age ranged from 5 to 45 years. The disease was unilateral in 61 cases and bilateral in 19 cases. Twelve patients, who had previous surgery done in the form of gap arthroplasty in 6 cases, costochondral graft in 4 cases and temporalis muscle in 2 cases, presented with recurrence on the same side. The pre-op inter-incisal mouth opening ranged from 4 to 12 mm. The intraoperative inter-incisal mouth opening ranged from 28 to 46 mm. An additional procedure was done in 13 patients, including placement of costochondral graft with coronoidectomy in 4 of these cases. There was no immediate complication and no incidence of facial nerve injury. There was no extrusion of the implant in immediate and follow-up period.Conclusions:The use of alloplastic implants with less volume and proper fixation covering all the raw bone joint space prevents reunion of bone; fixation of the sheet prevents its movement and thus extrusion.

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“…The disasters which followed the early use of alloplastic interpositional implants 18 , such as sialastic 3,101,102 and proplastteflon as disc replacement materials 37,45,99 , gave way to the increased use of autogenous grafts. Temporalis flaps 26,27,74 , auricular cartilage 32,53,100 and dermis grafts 29,59,62 have been reported with seemingly good results.…”

Section: Open Tmj Surgerymentioning

confidence: 99%

The role of surgery in the management of disorders of the temporomandibular joint: a critical review of the literature

Dimitroulis¹

2005

International Journal of Oral and Maxillofacial Surgery

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Assessement of Proplast-Teflon disc replacements

Cited by 56 publications

References 6 publications

The interpositional dermis-fat graft in the management of temporomandibular joint ankylosis

The interpositional dermis-fat graft in the management of temporomandibular joint ankylosis

Temporomandibular joint ankylosis fixation technique with ultra thin silicon sheet

The role of surgery in the management of disorders of the temporomandibular joint: a critical review of the literature

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