Quantifying the outcome of surgical treatment of temporomandibular joint ankylosis: A systematic review and meta-analysis

Roo, Noëmi De; Doorne, Luc Van; Troch, A.; Vermeersch, Hubert; Brusselaers, Nele

doi:10.1016/j.jcms.2015.08.019

Cited by 34 publications

(29 citation statements)

References 54 publications

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“…The recommended results after surgical treatment of TMJa in terms of postoperative mouth opening range between 30 mm and 35 mm (De Roo et al, 2016), which is in line with the results of our study. Different surgical procedures have been described to correct TMJ ankyloses; however, there is no agreement regarding the ideal technique.…”

Section: Discussionsupporting

confidence: 91%

Surgical management of ankyloses of the temporomandibular joint by a piezoelectric device

Spinelli

Valente

Mannelli

et al. 2017

Journal of Cranio-Maxillofacial Surgery

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Section: Discussionsupporting

confidence: 91%

Surgical management of ankyloses of the temporomandibular joint by a piezoelectric device

Spinelli

Valente

Mannelli

et al. 2017

Journal of Cranio-Maxillofacial Surgery

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“…PAT has been found to be potential pathway for the spread of pathological processes and infection. Otitis media or mastoiditis may involve the temporomandibular joint (TMJ) and ankylosis could be occurred as a result of this (7,(15)(16)(17). Additionally, we must keep in mind that fractures of the base of the skull may extend through the PAT and this could be destructive for glenoid fossa (18).…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Pneumatized Articular Eminence of the Temporal Bone and Its Importance in Maxillofacial Surgery

Akyol¹,

Oruğ²

2018

meandros

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Objective: Pneumatization is the presence of air filled cavities in a bone. They are seen in the root of the zygomatic arch of the temporal bone and in the articular eminence. The aim of this research was to determine the prevalence and type of pneumatized articular eminence of the temporal bone (PAT) among the patients of the dental clinic and to explain its importance in maxillofacial surgery. MaterialsandMethods:Analysis of 8400 panoramic radiographs was performed. Age and sex of all the patients were recorded. Results: PAT was discovered in 334 patients, accounting for prevalence of 3.9%. For these 334 patients, 138 (41.3%) were male and 196 (58.7%) were female. Two hundred ninety (65.6%) occurred unilaterally and 115 (34.4%) bilaterally. Two hundred fifty one (55.9%) of PAT presented with multilocular type, 182 (40.5%) with unilocular type, and 16 (3.5%) with trabecular appearance. In 194 (58%) cases, PAT was located between the deepest point of the glenoid fossa to the crest of the articular eminence (grade 2), and in 140 (42%) cases, PAT extended beyond the crest of the articular eminence (grade 3). PATs were found more common in females in the third decade of life. Conclusion: Due to the fragile nature of these defect, surgeons who are planning to carry out temporomandibular joint surgery should be extra cautious when dealing with pneumatized articular eminence especially in third decade female people in population. Amaç: Pnömatizasyon, bir kemikte hava dolu kavitelerin varlığıdır. Temporal kemikte, zigomatik ark kökü ve artiküler eminenste görülebilirler. Bu çalışmanın amacı diş kliniği hastaları içinde temporal kemikte pnömatize artiküler eminens (PAT) prevalansını ve tiplerini saptamak ve maksillofasiyal cerrahideki önemini vurgulamaktır. Gereç ve Yöntemler: Sekiz bin dört yüz panoramik radyografinin analizi yapıldı. Tüm hastaların yaş ve cinsiyetleri kaydedildi. Bulgular: Üç yüz otuz dört hastada PAT görüldü ve prevalansı %3,9 olarak hesaplandı. Bu 334 hastanın 138'i (%41,3) erkek, 196'sı (%58,7) kadındı. İki yüz dokuz PAT (%62,5) tek taraflı, 115 (%37,5) bilateraldi. Multiloküler tip 251 (%57,1), uniloküler tip 172 (%39,1) ve trabeküler tip olarak 16 (%3,6) PAT mevcuttu. Yüz doksan dört (%58,0) PAT olgusu glenoid fossanın en derin noktası ile artiküler eminens arasında

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“…Intraoperative hemostasis is a serious challenge due to the limited operative space and exposure. To protect the blood vessels and nerves, an extended incision, wide exposure of the ankylotic mass, aggressive retraction, sacrifice of soft tissue, and a protective shield are often required in conventional arthroplasty, which may lead to a prolonged operation duration, postoperative swelling, pain, and scar 21 . A major advantage of ultrasonic surgery is the precise and selective cutting for mineralized structures, thus sparing soft tissue and significantly reducing blood loss 22 .…”

Section: Discussionmentioning

confidence: 99%

Ultrasonic versus conventional gap arthroplasty for the release of ankylosis of temporomandibular joint: a prospective cohort study

Jia

Wang

Zhao

et al. 2019

Sci Rep

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The purpose of this study was to compare the clinical outcomes of ultrasonic surgery to the conventional bone cutting technique using bur and saw for the release of ankylosis of temporomandibular joint. We conducted a prospective cohort study on 25 patients with 38 ankylotic joints at Chinese PLA General Hospital from March 01, 2012 to March 01, 2016. Patients were followed up at least 2 years postoperatively. The primary outcome was the intraoperative blood loss per joint. The secondary outcome was the long-term (≥2 years) improvement of maximum mouth opening. The blood loss was significantly reduced in the ultrasonic group compared to the conventional group (107.3 ± 62.3 ml vs. 186.3 ± 92.6 ml, P = 0.019). The long-term improvements of maximum mouth opening were substantial and stable in both groups (33.5 ± 4.8 mm in the ultrasonic group vs. 29.2 ± 6 mm in the conventional group, P = 0.06). Multivariate linear regression analysis showed a significant association between blood loss and technique used (coefficient: 66.3, 95% confidence interval: 22.1,110.4, P = 0.006). The ultrasonic surgery was associated with less intraoperative blood loss when compared to the conventional method for the release of ankylosis of temporomandibular joint while providing a stable and comparable long-term improvement of maximum mouth opening.

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Quantifying the outcome of surgical treatment of temporomandibular joint ankylosis: A systematic review and meta-analysis

Cited by 34 publications

References 54 publications

Surgical management of ankyloses of the temporomandibular joint by a piezoelectric device

Surgical management of ankyloses of the temporomandibular joint by a piezoelectric device

Prevalence of Pneumatized Articular Eminence of the Temporal Bone and Its Importance in Maxillofacial Surgery

Ultrasonic versus conventional gap arthroplasty for the release of ankylosis of temporomandibular joint: a prospective cohort study

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