Interposition Arthroplasty using Temporal Fascia Flap For Temporomandibular Joint Ankylosis
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 2
Abstract
Introduction: Temporomandibular joint ankylosis is very common among young and young adults. TM joint can be intraarticular or extraarticular. The aim of treatment is not only to treat the movement of the joint but also to prevent relapse. Material and methods: In our series of 20 cases of temporomandibular joint ankylosis treated at our institute Rajendra Institute of Medical Sciences, Ranchi, Jharkhand in Department of Surgery from January 2007 to January 2017 with interposition arthroplasty. Results: Most of the patients were in the age group of 10 to 25 years, with equal male (10) to female (10) ratio of 1:1. 14 (70%) had unilateral ankylosis and 6 (30%) had bilateral ankylosis of temporomandibular joint ankylosis. Duration of ankylosis ranges from less than 2 years to more than 6 years. All the patients treated with interposition arthroplasty using temporalis fascia flap. Very good mouth opening was achieved in all the patients with mean follow up period of 6.5 years ranges from 2.5 years to 10 years. Conclusion: Interposition arthroplasty using vascularized temporalis fascia flap is a very reliable method to prevent recurrence of ankylosis and it also avoids the disadvantages of alloplastic materials as well as non-vascularized autogenous tissues.
Authors and Affiliations
Pankaj Bodra, Anita Sundi
Keywords
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