Rationale for Patient-fitted Alloplastic Temporomandibular Joint Replacement in Childhood Ankylosis

Mommaerts, Maurice Y.

doi:10.4103/ams.ams_250_21

Cited by 3 publications

(5 citation statements)

References 39 publications

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“…15 Alloplastic TJR will not experience over or undergrowth or graft fracture. 12 It should also be considered that there is a physical and psychosocial benefit having a single rather than multiple operations. 12 Treatment of temporomandibular joint ankylosis with custom-made total joint prosthesis is a recommended treatment method in both children and adults with TMJ ankylosis unresponsive to other modalities of treatment, such as recurrent bony ankylosis, TMJ arthritis or failed tissue grafts.…”

Section: Discussionmentioning

confidence: 99%

“…12 It should also be considered that there is a physical and psychosocial benefit having a single rather than multiple operations. 12 Treatment of temporomandibular joint ankylosis with custom-made total joint prosthesis is a recommended treatment method in both children and adults with TMJ ankylosis unresponsive to other modalities of treatment, such as recurrent bony ankylosis, TMJ arthritis or failed tissue grafts. 16 Our patient showed normalization of mouth opening, increased quality of life and reduction in pain after surgery, this fact supports the evidence found in the literature that alloplastic TMJ reconstruction is an effective and safe, longlasting management of patients with severe TMJ end-stage disease such as ankylosis.…”

Section: Discussionmentioning

confidence: 99%

“…This reduces scar formation and allow for optimal range of motion. 12 However, when considering pediatric patients, the autogenous reconstruction has the additional advantage of growth potential, especially with costochondral grafts. 13,14 Having that in mind, in pediatric patients with ankylosis, the growth has come to an end and thereafter alloplastic TJR may be advised.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…12 It should also be considered that there is a physical and psychosocial benefit having a single rather than multiple operations. 12…”

Section: Discussionmentioning

confidence: 99%

See 4 more Smart Citations

Bilateral TMJ Ankylosis: Total Joint Reconstruction in a Patient With Zero Mouth Opening: A Case Report

Malakuti

Thor

2023

Craniomaxillofacial Research & Innovation

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Objective Present a case of a young patient with bilateral bony ankylosis of the TMJ with zero mouth opening treated with TMJ prosthesis. Methods The ankylosis was studied in detail with computed tomography (CT) and we used virtual surgical planning in the pre-operative phase to provide splints and cutting guides. The patient was treated with bilateral custom-made alloplastic TMJ prosthesis. Results Optimal functional improvement at the 5.5 year follow up after total joint reconstruction without any adverse effects. Mouth opening was 35 mm and the patient was free from pain. CT-images showed no signs of pathology or increased remodeling and bone formation. Conclusion Ankylosis of the TMJ in young and adult population presents unique challenges given the need to account for growth of the mandible and anatomical variations. This report supports the use of total joint reconstruction for end-stage TMJ disease.

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Section: Discussionmentioning

confidence: 99%