Management of Adult Unilateral TMJ Ankylosis with Temporalis Muscle and Fascia Flap: Review of 51 Cases

Mishra, Sashikala; Tripathy, Ramanupam; Sabhlok, Samrat; Roy, Ritesh

doi:10.5005/jp-journals-10001-1113

Cited by 2 publications

(2 citation statements)

References 22 publications

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“…In current study, intensive physiotherapy started immediately after the operation and continued for 2 years with parents instructed to follow up every three months to prevent recurrence. This agreement with Mishra et al, 17 follow-up is necessary to prevent adhesions after surgery. High rate of recurrence with gap arthroplasty alone was reported, and the result of this operation was mouth deviation 18 .…”

Section: Discussionsupporting

confidence: 91%

Recurrent Temporomandibular Joint Ankylosis Among Yemenis: A Prospective Study

et al. 2023

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Background and aims: Recurrence of ankylosis is one of the most common complication following surgery especially during gap arthroplasty without interposition material. The main aim of these current study was to obtain a comparison between three different methods in prevent of recurrent temporomandibular joint ankylosis. Methods: A number of 15 patients with (2-22 years) age ranged between were obtained from those attending to Al-kawait Hospital, clinic of Oral and Maxillofacial Surgery Department, Sana’a University, Yemen. All patients in the present study that have ankylosis in the temporomandibular joint (TMJ) were included in period time from March 2017 to April 2020. the temporomandibular joint ankylosis Diagnosis was obtained through history of a chief complain, medical history, clinical and radiographic examinations. All patients were divided into three groups based on the type of treatment. Results: No any signs of surgical site infection in or around the incision. In group I: three cases of recurrence ankylosis were happened, while one case was dislodging of cartilage from harvested rib in group II. However, in group III, there were no complications observed after the end period of follow-up. Conclusion: The most effective procedure to prevent recurrence of temporomandibular joint ankylosis was the temporalis fascia as interpositional material, also produce a good esthetic and function results. Peer Review History: Received: 25 December 2022; Revised: 8 February; Accepted: 5 March 2023, Available online: 15 March 2023 Academic Editor: Dr. Asia Selman Abdullah, Pharmacy institute, University of Basrah, Iraq, asia_abdullah65@yahoo.com Received file: Reviewer's Comments: Average Peer review marks at initial stage: 6.0/10 Average Peer review marks at publication stage: 7.0/10 Reviewers: Dr. Tamer Elhabibi, Suez Canal University, Egypt, tamer_hassan@pharm.suez.edu.eg Dr. Bilge Ahsen KARA, Ankara Gazi Mustafa Kemal Hospital, Turkey, ahsndkyc@gmail.com Similar Articles: HISTOLOGIC AND RADIOGRAPHIC STUDY OF PATHOLOGIC CHANGE IN COMPLETE IMPACTED THIRD MOLARS DENTAL FOLLICLES

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Section: Discussionsupporting

confidence: 91%

Recurrent Temporomandibular Joint Ankylosis Among Yemenis: A Prospective Study

et al. 2023

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“…A major hazard following ankylosis surgery is re-ankylosis which could be reduced by meticulous resection of the ankylotic mass (fibrous or bony) together with aggressive postoperative physiotherapy 29 .…”

Section: Research Studymentioning

confidence: 99%

The effect of regional nerve blockade on the incidence of trigemino cardiac reflex in TMJ surgeries due to use of bi-block prosthesis

Reyad¹,

Saleh²,

Ghanem³

et al. 2013

Annals of Oral and Maxillofacial Surgery

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Introduction Ankylosis is a serious and handicapping problem and has been associated with a lot of hazards from chewing problems and malnutrition up to frank sleep apnoea syndrome (OSA) and life threatening upper air way complications during anaesthesia. On the other hand, trigeminocardiac reflex (TCR) consists of dysrhythmias, hypotension, apnoea and gastric hypermotility. Clinically, it is encountered in cranio-maxillo facial and occular surgeries. In this study we try to study the incidence of TCR due to forcible mouth opening by bi-block prosthesis following TMJ procedures after regional nerve blocks of maxillary and mandibular nerves. Materials and methods 100 patients enrolled for TMJ surgeries are grouped into 2 groups each containing 50 patients, control group (C-group) and nerve block group (NB-group) in which maxillary and mandibular nerves are blocked. Acrylic-bi-block prosthesis is inserted. The incidence of TCR (which is defined by a drop in both HR and MABP in > 20% of the base line values), also lowest H.R, occurrence of asystole, dysrhythmias and lanyngospasm, all are reported intraoperatively. Results There is a significant drop of incidence of TCR in the NB group (0%) compared to the C-group (2/50-4%). The lowest H.R. is insignificantly higher in the NB-group (49+3) Than the C-group (44+2). There was no haemodynamically significant hypotension, arrhythmias or laryngospasm. Conclusion Prophylactic nerve blockade at end of TMJ procedures and before bi-block prosthesis application is efficient to reduce the incidence of TCR.

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Management of Adult Unilateral TMJ Ankylosis with Temporalis Muscle and Fascia Flap: Review of 51 Cases

Cited by 2 publications

References 22 publications

Recurrent Temporomandibular Joint Ankylosis Among Yemenis: A Prospective Study

Recurrent Temporomandibular Joint Ankylosis Among Yemenis: A Prospective Study

The effect of regional nerve blockade on the incidence of trigemino cardiac reflex in TMJ surgeries due to use of bi-block prosthesis

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