The use of acrylic marbles for interposition arthroplasty in the treatment of temporomandibular joint ankylosis: follow-up of 47 cases

Surgical treatment of temporomandibular joint ankylosis: follow-up of 15 cases and literature review

“…The ensuing ankylosis could therefore be a reflection of misdiagnosis, or nondiagnosis of condylar fractures or infections, which were not managed appropriately nor received no treatment at all. TMJ ankylosis is a common condition, and its management is difficult (7). There is no agreed treatment, and results have been variable and often less than satisfactory (2,3,6,7).…”

“…The mean MIO increased from 8 mm preoperatively to 27.67 mm in the post-operative period, which may suggest that this technique was generally successful in the treatment of ankylosis. Interpositional arthroplasty with autogenous or alloplastic material at the osteotomy site is a mechanism for preventing recurrence (7,6,13). Various materials have been used such as skin (3), dermis (15), flaps of the temporal muscle/fascia (2), silicone (7,13) and cartilage (11).…”

“…Interpositional arthroplasty with autogenous or alloplastic material at the osteotomy site is a mechanism for preventing recurrence (7,6,13). Various materials have been used such as skin (3), dermis (15), flaps of the temporal muscle/fascia (2), silicone (7,13) and cartilage (11). However, there are possible disadvantages, such as morbidity at the donor site and unpredictable resorption when autogenous material is used, and a risk of foreign body reaction when alloplastic material is used (13,16).…”

“…In this study, however, no patient was treated with this technique. TMJ reconstruction may be necessary for patients with extensive osteotomy and consequently insufficient ramus height, and can be performed with costochondral grafts, clavicular osteochondral grafts, iliac crest grafts, coronoid process grafts and alloplastic condylar implants (7,6 its biological compatibility, workability and functional adaptability. The growth potential of the costochondral graft makes it the ideal choice in children (6,18).…”

“…A variety of techniques for its treatment have been described in the literature. However, no single method has produced uniformly successful results (3,6,7). In this paper, 15 cases of TMJ ankylosis with its different forms of treatment are reported.…”