Brisement force in fibrous ankylosis: A technique revisited

Joshi, Udupikrishna; Patil, Satishkumar G.; Shah, Kundan; Allurkar, Soumya

doi:10.4103/0970-9290.199591

Cited by 2 publications

(2 citation statements)

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“…The authors of this study differ on this position because, in our series, the extent of ankylotic mass was discovered during surgery. Imaging is not beneficial in the case of fibrous ankylosis because only osseous ankylosis presents on radiographs 24 . Therefore, fibrous ankylosis is more of a clinical diagnosis than a radiographic one 24 .…”

Section: Discussionmentioning

confidence: 99%

“…Imaging is not beneficial in the case of fibrous ankylosis because only osseous ankylosis presents on radiographs 24 . Therefore, fibrous ankylosis is more of a clinical diagnosis than a radiographic one 24 . We found only 1 case (2.8%) of fibrous ankylosis in our series, and, corresponding with literature, plain radiographs were unable to characterize it.…”

Section: Discussionmentioning

confidence: 99%

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Clinical experience in managing temporomandibular joint ankylosis: five-year appraisal in a Nigerian subpopulation

Braimah

Taiwo

Ibikunle

et al. 2018

J Korean Assoc Oral Maxillofac Surg

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ObjectivesTemporomandibular joint ankylosis (TMJA) is a joint pathology caused by bony and/or fibrous adhesion of the joint apparatus, resulting in partial or total loss of function.Materials and MethodsThis is a retrospective study conducted between 2012 and 2016 in the northwest region of Nigeria. The data retrieved includes gender, age, etiology of ankylosis, duration of ankylosis, laterality of ankylosis, type of imaging technique, type of airway management, types of incision, surgical procedure, mouth opening, interpositional materials used, and complications. Results were presented as simple frequencies and descriptive statistics.ResultsThirty-six patients with TMJA were evaluated during the study period. There were 21 males (58.3%) and 15 females (41.7%), yielding a male:female ratio of 1.4:1. The patients' age ranged from 5 to 33 years with mean±standard deviation (13.8±6.6 years). Thirty-five cases (97.2%) were determined to be true/bony ankylosis, while only 1 case (2.8%) was false/fibrous ankylosis. Most of the TMJA cases (16 cases, 44.4%) were secondary to a fall. In our series, the most commonly utilized incision was the Bramley-Al-Kayat (15 cases, 41.7%). The mostly commonly performed procedures were condylectomies and upper ramus ostectomies (12 cases each, 33.3%), while the most commonly used interpositional material was temporalis fascia (14 cases, 38.9%). The complications that developed included 4 cases (11.1%) of severe hemorrhage, 1 case (2.8%) of facial nerve palsy, and 1 case (2.8%) of re-ankylosis.ConclusionPlain radiographs, with their shortcomings, still have significant roles in investigating TMJA. Aggressive postoperative physiotherapy for a minimum of 6 months is paramount for successful treatment.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%