Comprehensive Management of Temporomandibular Joint Ankylosis — State of the Art

Behnia, Hossein; Tehranchi, Azita; Younessian, Farnaz

doi:10.5772/59165

Cited by 3 publications

(3 citation statements)

References 37 publications

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“…Therefore, treatment should be initiated as soon as the condition is recognized, with the main objective of reestablishing joint function and harmonious jaw function. [11] The pathogenesis of the TMJ ankylosis is described in a sequence of events. The intra-articular vascular supply at the traumatized joint is increased which develops fibrosis and ultimately results in excessive localized bone formation.…”

Section: Discussionmentioning

confidence: 99%

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Recurrent ankylotic mass treated with aggressive resection and myofascial flap with aggressive physiotherapy

Mathew¹,

Sathyabama²,

Baburaj³

et al. 2020

JGOH

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We are presenting a case with multiple recurring ankylosis, as the child had exhibited the clinical signs and symptoms of an ankylotic right temporomandibular joint. She was operated for the 1st time when she was 6 years old with poor compliance and was reoperated with a distraction unit when she was 10 years old. The research points out to frequent relapses in younger patients operated as they had less compliance relative to the adult ankylotic patients. Henceforth, we dealt with an aggressive approach of planning only on the resection of the mass and if the mouth opening ensues to progress with further correction of the asymmetry and the residual defect. The patient had nil mouth opening and hence was consented for tracheostomy, and fiber-optic intubation was arranged. The aggressive resection of the ankylotic mass was done and the cavity was lined with temporalis myofascial flap. This was followed by aggressive physiotherapy. The patient now has 28 mm of mouth opening and is continuing aggressive physiotherapy for the same. After 6 months of surgery, the patient is planned to undergo corrective jaw surgery for the asymmetry present.

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Section: Discussionmentioning

confidence: 99%

“…[16] In the literature, there are two main reasons for reankylosis after surgical release including inadequate resection of the ankylotic mass intraoperatively and also the absence of patient compliance regarding post-operative jaw exercise. [11]…”

Section: Discussionmentioning

confidence: 99%

Recurrent ankylotic mass treated with aggressive resection and myofascial flap with aggressive physiotherapy

Mathew¹,

Sathyabama²,

Baburaj³

et al. 2020

JGOH

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“…There are some reports of postsurgical condylar resorption in class II adult patients [64]. This could be the result of direct changes in the position of condyle, which may take place by inappropriate application of rigid fixation during surgery, worsening the TMD [65]. On the other hand, the improvement of clinical symptoms after orthognathic surgery can be explained by the better occlusal stability following surgery [66] (Figure 21).…”

Section: Late Management Of Class II Malocclusionmentioning

confidence: 99%

Advances in Management of Class II Malocclusions

Tehranchi¹,

Behnia²,

Younessian³

et al. 2016

A Textbook of Advanced Oral and Maxillofacial Surgery Volume 3

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Although mandibular advancement by bilateral sagittal split osteotomy seems to be a good mandibular treatment option to treat skeletal class II malocclusion, it is less stable than setback; relapse depends on a wide range of patient-centered and surgeoncentered factors relating to the skill and experience of the surgeon, proper seating of the condyles, the exact amount of mandibular advancement, the tension of the muscles and soft tissues, the mandibular plane angle, and the patient's age. In fact, patients with low and high mandibular plane angles have increased vertical and horizontal relapses, respectively. Nonsurgical management of class II malocclusion may be an option by which to effectively manage such cases. The present chapter discusses different treatment modalities for clinical management of class II malocclusion in growing and non-growing patients.

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