Article
Treatment of unilateral TMJ ankylosis with temporalis muscle and fascia flap: retrospective study of 51 cases
Search Medline for
Authors
-
Sobhan Mishra
- Sum Hospital, Bhubsneswar, India
-
Ram Anupam Tripathy
- Sum Hospital, Bhubaneswar, India
-
Samrat Sablok
- Sum Hospital, Bhubeneswar, India
-
Itesh Roy
- Hi-tech Medical College, Bhubaneswar, India
| Published: | April 4, 2012 |
|---|
Outline
Text
Purpose: This study is aimed to determine the efficacy of temporalis muscle and fascia flap in the treatment of unilateral TMJ ankylosis in adults. Treatment of TMJ ankylosis has been a topic of debate and the treatment options are multidimensional. Achieving good post operative mouth opening and functional and cosmetic outcomes of surgery, depends on the method of reconstruction. The need of study is to give the best possible solutions with minimal morbidity to the underlying deformity.
Materials and methods: A retrospective study was done on 51(Fity one) patients to evaluate the post-operative results for unilateral TMJ ankylosis. Parameters such as etiology, post operative mouth opening on 1st week, 2nd week, 6th week and 6 months and intra-operative and post-operative complications were recorded. The operative protocol for unilateral TMJ ankylosis entailed, (1) resection of the ankylotic mass, (2) intraoral ipsilateral coronoidectomy, (3) contralateral coronoidectomy when necessary, (4) interpositional tissue transfer to the TMJ with temporalis muscle and fascia flap, (5) maxillomandibular fixation (MMF) and (6) early mobilization and aggressive physiotherapy.
Results: The results were encouraging and functional results of interpositional arthroplasty were satisfying with minimal complications. Early postoperative initial aggressive exercise, physiotherapy, and strict follow-up play an important role in preventing postoperative adhesions.
Conclusion: The findings of this study support the use of temporalis muscle and fascia flap in adult patients with unilateral TMJ ankylosis.
