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Journal of Long-Term Effects of Medical Implants
Главный редактор: Subrata Saha (open in a new tab)

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ISSN Печать: 1050-6934

ISSN Онлайн: 1940-4379

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

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Management of Temporomandibular Ankylosis with Temporal Fascia Inter-positional Arthroplasty and Distraction Osteogenesis: Report of 30 Cases

Том 19, Выпуск 2, 2009, pp. 139-148
DOI: 10.1615/JLongTermEffMedImplants.v19.i2.50
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Краткое описание

Interposition arthroplasty in cases of temporomandibular ankylosis provides satisfactory postoperative mouth opening but correction of the associated facial deformity demands proper attention.
Purpose: To evaluate the use of distraction osteogenesis for correction of facial deformity caused by temporomandibular ankylosis.
Material: This study was conducted in 30 children (age 6−22 , median 12 years), with mandibular deformity as a result of temporomandibular ankylosis. The mean duration of ankylosis was 6.37(2.97) years, range 2−14 years. Extra oral or intraoral distractors were placed using pins or screws and distraction of mandibular body was achieved. Post operatively these patients were subjected to vigorous physiotherapy using wooden spatulas or jaw exerciser.
Results: Pre-operative inter-incisal mouth opening ranged from 0−6 mm, mean 3.33(1.81) mm where as post-operative mean mouth opening was 39.40(2.36) mm, range 34−44 mm. All the patients showed improved facial profle and symmetry with maintained, satisfactory mouth opening on follow up which ranged from 2 to 5 years. These patients were later subjected to orthodontic treatment to achieve a good intercuspal relationship and a stable occlusion.
Conclusion: Distraction osteogenesis provides excellent cosmetic results in the patients of temporomandibular ankylosis and should be preferred as a method of correction for mandibular deformities.

ЦИТИРОВАНО В
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  2. Zanaty Ola, El Metainy Shahira, Abo Alia Doaa, Medra Ahmed, Lerman Jerrold, Improvement in the airway after mandibular distraction osteogenesis surgery in children with temporomandibular joint ankylosis and mandibular hypoplasia, Pediatric Anesthesia, 26, 4, 2016. Crossref

  3. Gupta Sumit, Gupta Hemant, Mohammad Shadab, Mehra Hemant, Natu Subodh Shankar, Gupta Niharika, Silicone vs temporalis fascia interposition in TMJ ankylosis: A comparison, Journal of Oral Biology and Craniofacial Research, 6, 2, 2016. Crossref

  4. Bouloux Gary, Koslin Michael G., Ness Gregory, Shafer Dave, Temporomandibular Joint Surgery, Journal of Oral and Maxillofacial Surgery, 75, 8, 2017. Crossref

  5. Qiao Jia, Yu Bing, Gui Lai, Fu Xi, Yen Chung-Kwan, Niu Feng, Zhang Huijun, Wang Cai, Chen Ying, Wang Meng, Liu Jianfeng, Interpositional Arthroplasty by Temporalis Fascia Flap and Galea Aponeurotica Combined With Distraction Osteogenesis: a Modified Method in Treatment of Adult Patients With Temporomandibular Joint Ankylosis and Mandibular Dysplasia, Journal of Craniofacial Surgery, 29, 2, 2018. Crossref

  6. Agarwal Pawan, Singh M. P., Tiwari Swati, Sharma Dhananjaya, Silicon Interpositional Arthroplasty for Temporo-mandibular Joint Ankylosis, Indian Journal of Otolaryngology and Head & Neck Surgery, 73, 1, 2021. Crossref

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