True bony TMJ ankylosis in children: Case report

Al-Rawee, Rawaa Y.; Al-Khayat, Ali Mohammad Saeed; Saeed, Saud Salim

doi:10.1016/j.ijscr.2019.06.037

Cited by 11 publications

(13 citation statements)

References 22 publications

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“…Temporomandibular joint (TMJ) is a synovial diarthrodial joint that is formed between the condyle of the mandible and the glenoid fossa of the temporal bone that are separated by an articular disc [ 1 ]. Temporomandibular joint ankyloses (TMJA) implies a clinical condition characterized by the fusion of the mandibular condyle to glenoid fossa in the base of the skull [ 2 , 3 ].…”

Section: Introductionmentioning

confidence: 99%

“…Temporomandibular joint ankyloses (TMJA) implies a clinical condition characterized by the fusion of the mandibular condyle to glenoid fossa in the base of the skull [ 2 , 3 ]. Classifications of TMJA fall into different groups based on the number of joints involved as unilateral or bilateral; location as intra-articular or extra-articular; type of tissue involved as bony, fibrous, or fibro-osseous, and extent of fusion as complete or incomplete [ 1 , 4 ]. Besides, Sawhney classified TMJA into four groups as type I, II, III, and IV according to radiography results [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

“…Therefore, imaging such as plain radiography, panoramic, CT scan, arthrography, three dimensional CT scan, MRI, ultrasonography, and radionuclide imaging could enhance the proper diagnosis of TMJ ankyloses [ 2 , 15 ]. The management of TMJA is mainly through surgical intervention [ 1 , 16 ]. Therefore, it should be initiated as soon as the condition is recognized, with the main objective of reestablishing joint function, harmonious jaw function, and improve the patient's quality of life [ 17 , 18 ].…”

Section: Introductionmentioning

confidence: 99%

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Temporomandibular Joint Ankylosis among Patients at Saint Paul’s Hospital Millennium Medical College, Ethiopia: A 9-Year Retrospective Study

Mekonnen

Gizaw

Kebede

2021

International Journal of Dentistry

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Background. Temporomandibular joint ankylosis (TMJA) is a gradually developing pathological condition manifested by a limited mouth opening. It can result in an extremely disabling deformity that may affect mastication, swallowing, speech, oral hygiene, and facial cosmetic appearance. The present study aimed to determine the pattern of TMJA at St. Paul’s Hospital millennium medical college (SPHMMC), Addis Ababa, Ethiopia. Methods. A retrospective descriptive study design was conducted at SPHMMC. All medical records of patients with the diagnosis of TMJA that visited the Maxillofacial Surgery unit from September 2010 through August 2019 were reviewed. Sociodemographic and clinical data including age, sex, place of residency, duration of TMJA cases, etiology, clinical presentations, imaging results, type of surgical operation, and complications after surgery were collected and analyzed using IBM SPSS software version 20 for Windows (Armonk, NY, USA: IBM Corp) computer program. Results. A total of 130 patients’ medical records were reviewed. Out of this, 95 were included in the study. Forty-two (44.2%) of the TMJA cases were males, while the remaining 53 (55.8%) were females with a male to female ratio of 0.79 : 1. 20–29-year-old patients were the most affected, 36 (37.9%), followed by the 30 to 39 years age group, 33 (34.7%). Trauma (77.9%) was identified as the most common cause of TMJA. Notably, bilateral ankylosis (72.6%) was more common than unilateral (27.3%), and micrognathia was the most common (23.0%) deformity observed. The majority 52 (54.7%) of TMJA patients were treated with gap arthroplasty. Conclusions. TMJA was predominant among females than their male counterparts. Of note, 20–29-year-old patients were the most affected group. The majority of TMJA cases were treated by gap arthroplasty with almost no postoperative complications. Early detection and intervention to release the ankylosed joint is needed to improve patients’ quality of life.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Temporomandibular Joint Ankylosis among Patients at Saint Paul’s Hospital Millennium Medical College, Ethiopia: A 9-Year Retrospective Study

Mekonnen

Gizaw

Kebede

2021

International Journal of Dentistry

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“…Temporomandibular joint ankyloses (TMJA) implies to a clinical condition characterized by the fusion of the mandibular condyle to glenoid fossa in the base of the skull [2,3]. Classi cations of TMJA fall into different groups based on the number of joints involved as unilateral or bilateral; location as intraarticular or extra-articular; type of tissue involved as bony, brous, or bro-osseous, and extent of fusion as complete, or incomplete [4,5].…”

Section: Introductionmentioning

confidence: 99%

“…Therefore, imaging such as plain radiography, panoramic, CT scan, arthrography, three dimensional CT scan, MRI, ultrasonography, and radionuclide imaging could enhance the proper diagnosis of TMJ ankyloses [2,13]. The management of TMJA is mainly through surgical intervention [4,14]. Therefore, it should be initiated as soon as the condition is recognized, with the main objective of reestablishing joint function, harmonious jaw function, and improve the patient's quality of life [15,16].…”

Section: Introductionmentioning

confidence: 99%

Temporomandibular Joint Ankylosis Among Patients at Saint Paul’s Hospital Millennium Medical College, Ethiopia: a 9 Year Retrospective Study

Mekonnen¹,

Gizaw²,

Kebede

2020

Preprint

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Background: Temporomandibular joint ankylosis (TMJA) is a gradually developing pathological condition manifested by a limited mouth opening. It can result in an extremely disabling situation that may affect mastication, swallowing, speech, oral hygiene, and facial cosmetic appearance. The present study was aimed to determine the pattern of TMJA at St. Paul’s Hospital millennium medical college (SPHMMC), Addis Ababa, Ethiopia.Methods: A retrospective descriptive study design was conducted at SPHMMC. All medical records of patients with the diagnosis of TMJA that visited the Maxillofacial Surgery unit from September 2010 through August 2019 were reviewed. Clinical data including age, sex, place of residency, duration of the case, etiology, clinical presentations, imaging results, the type of operation and complications after surgery were collected, and analyzed by using SPSS version 20.0 windows software computer program. Results: A total of 130 patients’ medical records were reviewed. Out of this, 95 were included in the study. 42(44.2%) of the TMJA case were males, while the remaining 53(55.8%) were females with a female to male ratio of 1.26:1. The most affected age group was 20 to 39 years 36(37.9%), followed by the age group of 30 to 39 years 33(34.7%). Trauma was identified as the most common cause of TMJA. Notably, bilateral ankylosis was more common than unilateral, and mandibular deformity (micrognathia) was the most common deformity observed. The majority 52(54.7%) of TMJA patients were treated with Gap arthroplasty.Conclusions: Trauma was identified as the main cause of TMJA. The majority of TMJA cases were surgically treated with Gap arthroplasty with almost no postoperative complications. Thus early detection and intervention to release the ankylosed joint is needed to improve patient’s quality of life.

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