Unilateral bony ankylosis of the temporomandibular joint in a case of ankylosing spondylitis

Oliveira, Luciana Soares de Andrade Freitas; Oliveira‐Santos, Christiano; Melo, Daniela Pita de; Torres, Marianna Guanaes Gomes; Campos, Paulo Sérgio Flores

doi:10.1007/s10006-012-0365-2

Cited by 9 publications

(6 citation statements)

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“…During mobilization of the temporomandibular joint carried out extra-orally, either adhesions are removed from the outside of the mandibular ramus, or in low operations the mandibular ramus is resected. 21 , 22 Even when this procedure is carried out using the Al-Kayat technique, which provides a clear field of view, the resection site corresponds exactly with the height and location of the maxillary vein, and caution is therefore required. 23 …”

Section: Discussionmentioning

confidence: 99%

Course of the Maxillary Vein and its Positional Relationship With the Mandibular Ramus Require Attention During Mandibuloplasty

Odaka

Matsunaga

2020

Journal of Craniofacial Surgery

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Purpose: The maxillary vein is associated with major hemorrhage, an intraoperative risk factor during mandibuloplasty. Our objectives in this study were to identify the anatomical course of the maxillary vein relative to the mandible, and to ascertain the relationship of its course with that of the maxillary artery. Methods: Thirteen sides of 13 cadavers in the possession of the Department of Anatomy of Tokyo Dental College were used. The maxillofacial region was first dissected, after which the upper part of the mandibular ramus was removed and the maxillary artery, maxillary vein, and pterygoid venous plexus were identified. The length of the maxillary vein and its height from the mandibular plane were then measured, and its anatomical course was recorded. Results: The maxillary vein ran downward along the inner aspect of the temporal muscle, then from the base of the coronoid process it ran horizontally near the bone surface of the inner aspect of the mandibular ramus. After joining the inferior alveolar vein, it joined the superficial temporal vein to form the retromandibular vein. The mean length of the maxillary vein was 22.2 ± 3.2 mm. At the posterior margin of the mandibular ramus, its mean height above the mandibular plane was 34.2 ± 5.4 mm. From the posterior margin of the mandibular ramus to the lowest point of the mandibular notch, the maxillary vein was located within the areolar connective tissue directly above the periosteum adjoining the inner aspect of the mandibular ramus. Conclusions: In the wide area from the center of the maxillary notch to the posterior margin of the mandibular ramus, the maxillary vein runs extremely close to the periosteum on the inner aspect of the mandibular ramus, suggesting that it may pose a risk of hemorrhage in various oral surgical procedures.

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Section: Discussionmentioning

confidence: 99%

Course of the Maxillary Vein and its Positional Relationship With the Mandibular Ramus Require Attention During Mandibuloplasty

Odaka

Matsunaga

2020

Journal of Craniofacial Surgery

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“…Temporomandibular joint (TMJ) ankylosis is defined as an osseous or a fibrous fusion of the mandibular condyle to the fossa of the temporal bone (1) . It is the most common complication associated with trauma (13-100%), local or systemic infection (10-49%), or systemic diseases (10%) (2) . Local infections which are commonly associated with TMJ ankylosis as otitis media and mastoiditis, while the systemic infections include tuberculosis, scarlet fever, and gonorrhea.…”

Section: Introductionmentioning

confidence: 99%

The Efficacy Of Computer Guided Surgery In Preserving Ramal Height And Skull Base During Gap-Arthroplasty In Patients With TMJ Bony Ankylosis

Reda¹,

Hakim²,

Khalifa³

2019

ADJ-for Girls

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Purpose:The aim of the study was to compare between computer guided surgery and the traditional method in preserving vertical ramus height (VRH) and the skull base thickness during gap arthroplasty in patients with the TMJ bony ankylosis. Material and methods: Twelve patients with 15 joints suffering from true bony TMJ ankylosis were included in this study. The patients were divided into 2 groups: Group A (8 joints); The ankylosis was released by computer-assisted 1cm gap arthroplasty. Group B (7 joints); The ankylosis was released by traditional 1cm gap arthroplasty. Pre and postoperative clinical examinations included: measurements of maximum interincisal opening, midline deviations or deflections during mouth opening or closing, presence of open bite, recording any sign/symptoms of infection, facial nerve function evaluation. Preoperative radiograph were measure the preoperative VRH, and aid in construction of the surgical guide for group A, while, postoperative radiograph performed for measure the VRH and skull base thickness. Result: Clinically improvement in the midline shift and occlusion during physiotherapy period postoperatively for all cases in group A except in one patient. While, clinical result in group B revealed increase in the midline shift, and change in occlusion postoperatively. Radiographically: there was no statistical significant difference between the 2 groups in postoperative VRH loss measurements. There was statistical significant difference between the 2 groups in postoperative skull base thickness. Conclusion: Computer assisted surgical simulation could help the surgeon to preserve the VRH and the skull base that reflects positively on the postoperative clinical outcomes.

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“…Peripheral arthritis occurs in approximately 35%-50% of patients with AS over the course of the disease [4]. The temporomandibular joint (TMJ) is one of the most important joints in the human body, and sporadic cases of TMJ ankylosis may occur in patients with AS as the peripheral joint involvements [5].…”

Section: Introductionmentioning

confidence: 99%

A rare case of ankylosing spondylitis with severe temporomandibular joint and dental involvement

Kaysın¹,

Aktaş²,

Özkan³

2017

Marmara Medical Journal

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Meryem YILMAZ KAYSIN, Ilknur AKTAS, Feyza UNLU OZKANA rare case of ankylosing spondylitis with severe temporomandibular joint and dental involvement Ciddi temporomandibular eklem ve diş tutulumu olan nadir bir ankilozan spondilit olgusu ÖZ Ankilozan spondilit (AS) primer olarak aksiyel iskeleti tutan ve fonksiyonel bozukluğa yol açan kronik enflamatuvar bir hastalıktır. Temporomandibular eklem (TME) ankilozu, eklem bileşenlerinin kemik veya fibröz adezyonu ile karakterize olup, ağız açıklığında kısıtlanma ile sonuçlanmaktadır. Hastalığın yüksek prevelansına rağmen AS'e bağlı TME ve diş ankilozu oldukça nadir bir durumdur. Bu olgu sunumu ile TME ağrısı ve ağız açıklığında kısıtlılık ile polikliniğimize başvuran ve TME ve diş ankilozu tanısı alan bir AS olgusu sunmayı amaçladık. Hastanın ağız açıklığında kısıtlılık ve zorlu bir diş çekimi öyküsü mevcuttu. Kötü dental hikayesi olan ve ağız açmakta zorluğu olan AS hastalarında, TME ve diş ankilozu mutlaka düşünülmelidir. Şüpheli olgularda çene ve diş anormalliklerini tespit etmek için panoramik ağız grafisi ile hasta değerlendirilmelidir. Anahtar kelimeler: Ankilozan spondilit, Temporomandibular eklem, Diş ABSTRACTAnkylosing spondylitis (AS) is a chronic inflammatory disease that primarily affects the axial skeleton, resulting in functional deterioration. Temporomandibular joint (TMJ) ankylosis is characterized by bony or fibrous adhesion of the anatomic joint components, which results in limited mouth opening. Despite the high prevalence of the disease, ankylosis of the TMJ and tooth secondary to AS are rare conditions. Here, a patient with AS admitted to the outpatient clinic with a chief complaint of TMJ pain and restricted mouth opening was diagnosed with TMJ and dental sclerosis. The patient's dental history included fracture of a wisdom tooth during an attempted extraction and difficulty in mouth opening. TMJ and dental ankylosis should be considered in patients with AS with a poor dental history and difficulty in mouth opening. For such suspected cases, a panoramic radiograph of the jaws and teeth should be obtained to detect abnormalities.

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Unilateral bony ankylosis of the temporomandibular joint in a case of ankylosing spondylitis

Abstract: TMJ ankylosis in AS patients is rare and very few reports have presented imaging features of the condition through advanced diagnostic techniques.

Cited by 9 publications

References 10 publications

Course of the Maxillary Vein and its Positional Relationship With the Mandibular Ramus Require Attention During Mandibuloplasty

Course of the Maxillary Vein and its Positional Relationship With the Mandibular Ramus Require Attention During Mandibuloplasty

The Efficacy Of Computer Guided Surgery In Preserving Ramal Height And Skull Base During Gap-Arthroplasty In Patients With TMJ Bony Ankylosis

A rare case of ankylosing spondylitis with severe temporomandibular joint and dental involvement

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