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Journal of Long-Term Effects of Medical Implants

Publicou 4 edições por ano

ISSN Imprimir: 1050-6934

ISSN On-line: 1940-4379

SJR: 0.184 SNIP: 0.485 CiteScore™:: 1.1 H-Index: 39

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Childhood TMJ Ankylosis: A Surgical Challenge

Volume 31, Edição 2, 2021, pp. 9-11
DOI: 10.1615/JLongTermEffMedImplants.2021037143
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RESUMO

Temporomandibular joint (TMJ) ankylosis is a rare and a debilitating condition. The major etiological factor is trauma in young age. This is due to greater potential of growth when compared with adults. The management of TMJ ankylosis is challenging due to the high incidence of recurrence and to the absence of a published consensus. We presented a long-term follow-up for a rare case of recurrent TMJ ankylosis post childhood trauma. Patient underwent multiple surgeries with autologous reconstruction, interposition arthroplasty, and coronoidectomy. Finally and after the development of skull base ankylosis, patient was treated with alloplastic reconstruction at adulthood. She was then followed up for 10 years post-op with excellent mouth opening. Thus, the treatment of recurrent TMJ ankylosis in children is still controversial with a debate about the applicability of TMJ prosthesis to prevent multiple procedures.

Referências
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  2. Xu F, Jiang L, Man C. A comparative study of different surgical methods in the treatment of traumatic temporomandibular joint ankylosis. Int J Oral Maxillofacial Surg. 2017 Feb 1;46(2):198-203. .

  3. Bhave SM, Mehrotra D, Singh P, Shukla A. Extensive temporomandibular joint ankylosis involving medial pterygoid plates and the maxillary tuberosity-a case report. J Oral Biol Craniofacial Res. 2019 Jul 1;9(3):218-21. .

  4. Xia L, An J, He Y, Xiao E, Chen S, Yan Y, Zhang Y. Association between the clinical features of and types of temporomandibular joint ankylosis based on a modified classification system. Sci Rep. 2019 Jul 19;9(1):1-7. .

  5. He D, Yang C, Chen M, Zhang X, Qiu Y, Yang X, Li L, Fang B. Traumatic temporomandibular joint ankylosis: Our classification and treatment experience. J Oral Maxillofacial Surg. 2011 Jun 1;69(6):1600-7. .

  6. Lindqvist C, Jokinen J, Paukku P, Tasanen A. Adaptation of autogenous costochondral grafts used for temporomandibular joint reconstruction: A long-term clinical and radiologic follow-up. J Oral Maxillofacial Surg. 1988 Jun 1;46(6):465-70. .

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