Comparison of Clinical Efficacy of Temporalis Myofascial Flap and Dermal Graft as Interpositional Material in Treatment of Temporomandibular Joint Ankylosis

Yazdani, Javad; Ghavimi, Mohammad Ali; Pourshahidi, Sara; Ebrahimi, Hooman

doi:10.1097/scs.0b013e3181e1b4f6

Cited by 24 publications

(12 citation statements)

References 18 publications

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“…Many clinicians advocate the placement of an interpositional material in the joint after discectomy to avoid pain, crepitus, degenerative changes, limited movement and reankylosis. Only gap arthroplasty including condylectomy may result in a false joint space and it was showed in the literature that the gap arthroplasty without using any interposition material for TMJ ankylosis could not restore the TMJ functionally and histologically [5][6][7][8][9][10][11][12].…”

Section: Discussionmentioning

confidence: 99%

Interpositional Arthroplasty in the Treatment of Temporomandibular Joint Ankylosis: A Review of Literature

Tuncel¹

2011

Surgery

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We have reviewed the clinical and experimental reports regarding interpositional arthroplasty materials in the treatment of temporomandibular joint(TMJ) ankylosis. The aim of this review is to determine what constitutes an ideal interpositional material and whether any of the existing materials reported in the literature provide all requirements of an effective disc substitute following the surgical excision of ankylotic mass. We evaluated these reports in terms of the maximum mouth opening(MMO), aetiology, type of ankylosis, type of graft used, recurrence and other complications. Also we compared the results of the other experimental studies with those of our former experimental study. This was the first report that human amniotic membrane(HAM) had been used as an interposition material. The study has clearly demonstrated that HAM was superior to gap arthroplasty evidenced by vertical, left and right jaw movements in the rabbits clinically. This was supported by histological and radiological investigations, as well. However HAM had the inability to achieve the vertical height of the mandibular ramus, so that a total functional reconstruction was not obtained. In reviewing the literature, it is obvious that there is no ideal interpositional material that provides all the criteria for replacement of a missing articular disc following TMJ discectomy. Although HAM as an interpositional material in tmj ankylosis treatment has not yet been used in human beings, we consider HAM as an interface material with replacing the disc using a cartilage graft might be effective to prevent reankylosis method for treatment of type 1 and 2 of TMJ ankylosis.

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Section: Discussionmentioning

confidence: 99%

Interpositional Arthroplasty in the Treatment of Temporomandibular Joint Ankylosis: A Review of Literature

Tuncel¹

2011

Surgery

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“…Satisfactory results were obtained by surgeons who used dermal fat grafts rather than using the usual temporalis fascia. [11] The interpositioned fat tissues nicely thrives and adopted to the cavity and allows the functional movement and the viable fat tissues help to prevent reankylosis as the fat tissues in the cavity are living even for many years [14,17] . The purpose of this article is to present the clinical experience of using autogenous abdominal dermis-fat interpositional graft in the surgical management of TMJ ankylosis especially in children [9] where as majority of the other studies with interposition dermal fat grafts were conducted on adult patients.…”

Section: Discussionmentioning

confidence: 99%

“…They concluded the use of dermal fat graft has minimal donor site morbidity which is a safe and effective inter position material to prevent reankylosis. Yazdani et al in 2010 [11] conducted a study on 20 patients to prove the efficacy of Temporalis muscle interposition verses dermal fat grafts which were implemented on 2 groups , 10 patients in each group, by considering the amount of presurgical and post surgical maximum incisal mouth opening and lateral excursion. The result was comparable and almost satisfactory.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of abdominal dermis fat graft as the interpositional material in the management of Temporomandibular joint ankylosis in children- an original study

Chauhan¹

2013

IOSR-JDMS

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“…For total TMJ reconstruction, after resection a costochondral graft was put in place in order to reconstruct the TMJ. Temporalis myofascial graft was interpositioned successfully [17, 18]. …”

Section: Case Reportmentioning

confidence: 99%

TMJ Ankylosis: Multidisciplinary Approach of Treatment for Dentofacial Enhancement—A Case Report

Vibhute

Bhola

Borle

2011

Case Reports in Dentistry

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This report describes the multidisciplinary phasewise treatment of a 20-year-old female patient having unilateral right TMJ bony (true) ankylosis whose mouth opening was restricted to 2 mm and mandibular retrognathism; additionally, she was also suffering from speech problems, snoring, difficulty in breathing, and low level of self-esteem and self-confidence. Bilateral gap arthroplasty and temporalis myofascial graft interpositioning through preauricular approach were done in surgical phase followed by the aggressive jaw physiotherapy in postsurgical period. Oral prophylaxis and restorations were followed by the fixed orthodontic therapy to resolve bimaxillary protrusion. Advancement sliding genioplasty was performed to enhance the chin button. Speech therapy and psychological counseling were also performed from time to time to boost up the self-esteem and self-confidence. At the end of treatment, facial esthetics was improved considerably and patient got over the impact of disfigurement, impaired functions, and psychosocial stigma. Rationale to use the multidisciplinary team approach in treatment of such cases is discussed.

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Comparison of Clinical Efficacy of Temporalis Myofascial Flap and Dermal Graft as Interpositional Material in Treatment of Temporomandibular Joint Ankylosis

Abstract: The interpositional arthroplasty in TMJ ankylosis patients using either a temporalis muscle and facial flap or a dermal graft would yield a comparable and almost satisfactory clinical outcome.

Cited by 24 publications

References 18 publications

Interpositional Arthroplasty in the Treatment of Temporomandibular Joint Ankylosis: A Review of Literature

Interpositional Arthroplasty in the Treatment of Temporomandibular Joint Ankylosis: A Review of Literature

Efficacy of abdominal dermis fat graft as the interpositional material in the management of Temporomandibular joint ankylosis in children- an original study

TMJ Ankylosis: Multidisciplinary Approach of Treatment for Dentofacial Enhancement—A Case Report

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