Outcome of amniotic membrane as an interpositional arthroplasty of TMJ ankylosis

Akhter, Mahmuda; Ahmed, Niaz; Arefin, Md. Raihan-ul; Sobhan, M A; Molla, Motiur Rahman; Kamal, M

doi:10.1007/s10006-015-0529-y

Cited by 15 publications

(9 citation statements)

References 10 publications

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“…The interincisal opening had improved postoperatively, and no significant reduction was found in the interincisal opening at 5 years postoperataively. 43 In 2013, the successful use of amnion combined with a costochondral graft as an interpositional material in TMJ reconstruction was described in a case report. 44 The most recent case report described the implantation of a cryopreserved amniotic patch as a disc-replacing graft after TMJ discectomy in a 48-year-old woman with TMJ DD.…”

Section: Connelly Et Almentioning

confidence: 99%

Temporomandibular Joint Discectomy Followed by Disc Replacement Using Viable Osteochondral and Umbilical Cord Allografts Results in Improved Patient Outcomes

Connelly

Silva

Gupta

et al. 2020

Journal of Oral and Maxillofacial Surgery

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The ideal surgical solution to reconstruct the temporomandibular joint (TMJ) disc after it has been removed has remained elusive. The major obstacle has been identifying a durable biocompatible material that will provide for restoration of TMJ function. The present study evaluated the outcomes of the interpositional implantation of a cryopreserved viable osteochondral allograft (CVOCA) combined with a viable cryopreserved umbilical cord tissue (vCUT) allograft after TMJ discectomy in patients with internal derangement and/or degenerative joint disease (DJD). Patients and Methods: We implemented a retrospective case series study and enrolled patients with DJD or disc displacement diagnosed using the Diagnostic Criteria of Temporomandibular Disorders, who had undergone interpositional CVOCA and vCUT implantation after TMJ discectomy. The primary outcome variable was pain, measured using a visual analog scale (VAS). The secondary outcomes variables included maximal incisal opening (MIO) and Glasgow Benefit Inventory (GBI) general subscale scores. The primary analysis compared the preoperative measures with those at the last follow-up visit. Descriptive and analytic statistics were computed to summarize the sample's characteristics and assess the pre-and postoperative differences. Results: The study sample included 9 patients with a mean age of 36 years, and 44% were men. The VAS scores had decreased significantly from 9.0 AE 2.0 to 3.0 AE 3.0 postoperatively (P = .001). The MIO had increased from 31 AE 5 to 36 AE 5 mm (P = .178). The average GBI general subscale score of 13 AE 46 for the 9 patients showed a trend toward improved quality of life and patient satisfaction with the surgery. The median postoperative follow-up at the time of our report was 15 months (interquartile range, 10; range, 2 to 27) without treatment-related complications.

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Section: Connelly Et Almentioning

confidence: 99%

Temporomandibular Joint Discectomy Followed by Disc Replacement Using Viable Osteochondral and Umbilical Cord Allografts Results in Improved Patient Outcomes

Connelly

Silva

Gupta

et al. 2020

Journal of Oral and Maxillofacial Surgery

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“…The positioning of human amniotic membrane (HAM) within the intra-articular space of arthritic TMJs has never been investigated, but increasing amount of evidence highlights the potential positive effects of HAM on a number of surgical conditions, even included the interpositional arthroplasty for TMJ ankylosis [24, 25].…”

Section: Introductionmentioning

confidence: 99%

Human Amniotic Membrane Positioning in the Surgical Treatment of Temporomandibular Joint Degenerative Disorder

Guarda-Nardini

Trojan

Montagner

et al. 2019

Case Reports in Surgery

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Background. Temporomandibular joint (TMJ) arthritis is a degenerative pathology that may cause pain and dysfunction. Nonsurgical therapy is the traditional treatment of TMJ diseases but if ineffective, TMJ surgery can be performed and may include arthroplasty with interposition of autograft. The encouraging results reported with the use of human amniotic membrane (HAM) in different surgical fields have highlighted its potential, but approaches providing the positioning of HAM within the intra-articular space of arthritic TMJs have never been investigated. Case Presentation. A 48-year-old woman was presented with limited mouth opening and pain with palpation at the left joint. A severe TMJ degeneration was diagnosed, and a surgical treatment was necessary. In the present case report, the authors describe the application of a cryopreserved HAM patch within the joint space as a disc-replacing film during major surgeries for discectomy and arthroplasty. Three months after the intervention, the patient reported an overall improvement in chewing efficiency as well as the absence of pain. Conclusions. According to the regenerative effects of HAM, the design of trials on the topic should be encouraged for its possible inclusion within the field of TMJ disease practice.

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“…The amnion was used in the treatment of such injuries as an interdisciplinary membrane characterized with functional adjustment capabilities, non-immunogenicity and low cost. The study proved that the amniotic membrane is a biocompatible material which can find its application in the treatment of temporomandibular joint ankylosis as a good alternative for the prevention of recurrence of ankylosis and restoration of satisfactory functionality of the joints [36].…”

Section: New Possibilities Of Application Of Grafts Prepared From Plamentioning

confidence: 88%

Preparation of Amniotic Membrane and It’s Application in the Treatment of Skin Loss and Lyell's Syndrome (Toxic Epidermal Necrolysis): Current State and New Opportunities

Klama-Baryła¹,

Łabuś²,

Kitala³

et al. 2017

J Clin Exp Dermatol Res

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Amniotic membrane is a good protection against bacterial infections, reduces losses of proteins, fluids and electrolytes, decreases pain from burns and accelerates healing. Due to its richness in nutrients and low immunogenicity, it is often used as a skin substitute. Human amnion may be prepared in tissue banks, as biostatic or biovital grafts. There are various methods of amniotic graft preparations developed to make them efficient in surgical treatment and prevent the risk of transmission of infectious diseases. This paper presents the current clinical application of human amnion in the treatment of skin losses, such as burns to the face and Lyell's syndrome (toxic epidermal necrolysis). It also describes new applications of fetal membranes for other diseases. Placental grafts are often an alternative therapy in the situations when standard treatment does not yield desirable effects. Such grafts are especially beneficial in comparison to many other bioactive therapies, including low cost, easy manipulation, capability of promoting cell migration and proliferation and stimulation of stem cell activity.

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Outcome of amniotic membrane as an interpositional arthroplasty of TMJ ankylosis

Abstract: Amniotic membrane graft as an interpositional material in temporomandibular joint ankylosis can be a good alternative as to prevent reankylosis and recover functionality.

Cited by 15 publications

References 10 publications

Temporomandibular Joint Discectomy Followed by Disc Replacement Using Viable Osteochondral and Umbilical Cord Allografts Results in Improved Patient Outcomes

Temporomandibular Joint Discectomy Followed by Disc Replacement Using Viable Osteochondral and Umbilical Cord Allografts Results in Improved Patient Outcomes

Human Amniotic Membrane Positioning in the Surgical Treatment of Temporomandibular Joint Degenerative Disorder

Preparation of Amniotic Membrane and It’s Application in the Treatment of Skin Loss and Lyell's Syndrome (Toxic Epidermal Necrolysis): Current State and New Opportunities

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