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[Posttraumatic temporomandibular joint ankylosis: clinical development and surgical management].
- Source :
-
Zhonghua kou qiang yi xue za zhi = Zhonghua kouqiang yixue zazhi = Chinese journal of stomatology [Zhonghua Kou Qiang Yi Xue Za Zhi] 2006 Dec; Vol. 41 (12), pp. 751-4. - Publication Year :
- 2006
-
Abstract
- Objective: To investigate the patterns of condylar fractures associated with temporomandibular joint ankylosis (TMJA) and treatment methods and results based on the different types of ankylosis.<br />Methods: Forty-two joints of ankylosis in 31 patients with were categorized to four groups according to Sawhney's classification and undergone surgical treatment as follows: a joint release and disc reposition for Type I ankylosis, a dissection of bony block and disc reposition for Type II; a dissection of full-joint and employment of the temporal myofascial flap as interposition for Type III; a radically dissection of full joint followed by ramus distraction osteogenesis and genioplasty for Type IV. All of patients were followed up for 9 to 54 months with an average of 30 months. The range of mouth opening and temporomandibular joint (TMJ) function were assessed. Condylar fractures were retrospectively investigated on the patterns and the course of ankylosis development. Macroscopical visualization on the osseously ankylosed sites and disc displacement were analyzed in comparison with the radiological findings.<br />Results: Condylar sagittal and comminuted fractures were most susceptible to TMJA. Early fibrous ankylosis occurred usually at the 4th or 5th month post-traumatically with an average month opening of 18.3 mm. The articular discs were found displaced in all cases and early bony bridge formed at a limited area where there was no disc as cushion. During fellow-up, considerable improvement in mandibular movement was attained with a stable joint function and mouth opening range of over 30 mm except for two cases in which ankylosis relapsed.<br />Conclusions: Condylar sagittal and comminuted fractures are most likely to cause ankylosis. Early surgical intervention could reduce the disc and avoid the later ankylosis.
- Subjects :
- Adolescent
Adult
Ankylosis classification
Ankylosis etiology
Child
Child, Preschool
Female
Follow-Up Studies
Humans
Male
Mandibular Condyle surgery
Mandibular Fractures surgery
Middle Aged
Temporomandibular Joint Disc injuries
Temporomandibular Joint Disc surgery
Temporomandibular Joint Disorders classification
Temporomandibular Joint Disorders etiology
Young Adult
Ankylosis surgery
Mandibular Condyle injuries
Mandibular Fractures complications
Temporomandibular Joint Disorders surgery
Subjects
Details
- Language :
- Chinese
- ISSN :
- 1002-0098
- Volume :
- 41
- Issue :
- 12
- Database :
- MEDLINE
- Journal :
- Zhonghua kou qiang yi xue za zhi = Zhonghua kouqiang yixue zazhi = Chinese journal of stomatology
- Publication Type :
- Academic Journal
- Accession number :
- 17349199