Temporomandibular Joint Ankylosis: Algorithm of Treatment

Fariña, R; Canto, L.; Gunckel, R.; Alister, Juan Pablo; Uribe, Francisca

doi:10.1097/scs.0000000000004134

Cited by 19 publications

(18 citation statements)

References 17 publications

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“…The patient's parents were given explanations and counseling regarding the sis and treatment options. Due to the young age of the subject, only physical ther initiated to improve the condition of the masticatory muscles and avoid further ular movement reduction, mainly in mouth-opening [14][15][16] exercises involvin hinge opening and manual finger stretching in front of a mirror, combined with massage through stretching and against-resistance exercises within painless lim the years, periodical clinical checks were performed and the therapy resulted i creased mouth opening from 13 mm to 21 mm after 1 year. This slight increase i opening made daily activities easier, such as feeding and oral hygiene.…”

Section: Clinical Casementioning

confidence: 99%

Mandibular Coronoid Process Hypertrophy: Diagnosis and 20-Year Follow-Up with CBCT, MRI and EMG Evaluations

et al. 2021

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Coronoid process hypertrophy (CPH) consists of an abnormal volumetric increment of the mandibular coronoid process; as this process grows gradually, the infratemporal space needed for the rotation and translation of the mandible is reduced, which results in a reduction of the range of mouth opening and lateral excursion, limiting mouth opening. The purpose of this case report was to describe a rare case of hypertrophy of coronoid processes with associated temporomandibular ankylosis, monitored for over 20 years. The patient was first visited when he had a facial trauma at the age of 4. Then he was followed through clinical, functional, instrumental, bi-dimensional and three-dimensional radiological evaluations up to the age of 24. Physical therapy was initiated at the age of 10 to improve the condition of the masticatory muscles, while at the age of 14, Transcutaneous Electrical Nerve Stimulations were performed to reduce muscle tension and, a bite plane was delivered to control the parafunctional activity of the jaw in the night and self-control instruction was provided for daytime habits. The adult patient has not accepted surgical intervention; thus, the future objective is to continue monitoring over the years to avoid a detrimental progression of the medical condition through physical and functional therapies while waiting for patient consent to surgery if needed.

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Section: Clinical Casementioning

confidence: 99%

Mandibular Coronoid Process Hypertrophy: Diagnosis and 20-Year Follow-Up with CBCT, MRI and EMG Evaluations

et al. 2021

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“…Xiao 12 reported change of achieved condylar length from 10.55 mm to 4.5 mm at follow up and change from 1.27 to 1.07 mm was reported by Farina. 16 TDO vs CCG: Autologous graft especially CCG was considered the gold standard, especially in ankylosis management in growing children as it is biologically similar to the condyle and the cartilage cap provides the growth center. But it has been debated for its unpredictable growth, mismatch of medullary and cortical bone, inadequate strength of bone leading to fractures and deformation, the possibility of resorption or infection, all ultimately leading to compromised long term results or even recurrence besides their obvious donor site complications.…”

Section: Transport Distraction Osteogenesis (Tdo) For Condylar Regenerationmentioning

confidence: 99%

“…Formation of the pseudo joint at the callus in simultaneous and post arthroplasty cases are reported which is obviously an advantage here. 53 (Table 2) However prearthroplasty DO has been found to be associated with more pain in the contralateral normal TMJ during the course of DO. 3 Practically and ideally Prearthroplastic DO is the best answer to TMJa.…”

Section: Mandibular Distraction Osteogenesis For Facial Deformity Correctionmentioning

confidence: 99%

A systematic review on the outcome of distraction osteogenesis in TMJ ankylosis

Chugh¹,

Mehrotra²,

Yadav³

2021

Journal of Oral Biology and Craniofacial Research

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“…The associated deformities are more complicated. The technical difficulties in surgery and the high relapse rate [51] mandate a surgical protocol for future audit to arrive at best practices for Sudanese patients.…”

Section: Tmj Disordersmentioning

confidence: 99%

Referral pattern of oral and maxillofacial surgery cases in Sudan: A retrospective age-and sex-specific analysis of 3,478 patients over four years

et al. 2021

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Oral and maxillofacial surgery (OMFS) is a specialty widening in its scope. An objective analysis of the referral pattern can provide essential information to improve healthcare. This four-year retrospective study was implemented in Khartoum Teaching Dental Hospital. Data (age, sex, diagnosis, and type of treatment) were collected from patient records. Disease frequency, as well as the effect of sex and age, were analyzed for each group. The frequency of treatment types was also assessed. Data were collected from a total of 3,478 patients over the four-year study period. There was a male predominance with the third decade of life being the most common age group. Pathological diseases were the most common (37%) reason for referral, followed by trauma (31%). Temporomandibular joint (TMJ) disorders and dentoalveolar extraction were the least frequently observed. Open reduction and internal fixation (ORIF) was the most commonly performed procedure (28%). These data represent the epidemiology of oral and maxillofacial diseases in Sudan. Given that the third decade of life is the most represented age group, it is beneficial to learn the long-term consequences of these diseases in these young patients and to use modern surgical techniques to improve their lives.

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Temporomandibular Joint Ankylosis: Algorithm of Treatment

Abstract: The therapeutic algorithm proposed in the present work provides favorable functional and morphological results. Early and aggressive functional physiotherapy is essential to minimize the risk of reankylosis.

Cited by 19 publications

References 17 publications

Mandibular Coronoid Process Hypertrophy: Diagnosis and 20-Year Follow-Up with CBCT, MRI and EMG Evaluations

Mandibular Coronoid Process Hypertrophy: Diagnosis and 20-Year Follow-Up with CBCT, MRI and EMG Evaluations

A systematic review on the outcome of distraction osteogenesis in TMJ ankylosis

Referral pattern of oral and maxillofacial surgery cases in Sudan: A retrospective age-and sex-specific analysis of 3,478 patients over four years

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