Use of Abdominal Adipose Tissue for Interposition in Unilateral Temporo-Mandibular Joint Ankylosis - A Case Report
Journal Title: Medical Journal of Clinical Trials & Case Studies - Year 2018, Vol 2, Issue 2
Abstract
Introduction: Temporo-mandibular ankylosis is a debilitating condition resulting in immobile lower jaw, reduced mouth opening, facial asymmetry and reduced general health status. This article is a case report of post traumatic unilateral TMJ ankylosis in a young female treated successfully by surgery wherein the abdominal adipose tissue with dermis was used for interposition to prevent reankylosis. Case Report: A female patient twenty two years old diagnosed as unilateral TMJ ankylosis. The surgical treatment of gaparthoplasty with inter-positional grafting with abdominal fat pad and bilateral coronoidotomy was planned Discussion: The success in the preventing Reankylosis after TMJ gap arthroplasty is related primarily to the appropriate surgical technique with adequate removal of bone, early vigorous postoperative physiotherapy, maintained for long term. The case reported has no obvious facial deformity, one stage treatment of release of ankylosis and interposition of abdominal fat has improved patients mouth opening. The ease of harvesting and sufficient size of tissue definitely makes abdominal derma fat as choice of interpositional autogenous tissue in case of TMJ ankylosis.Conclusion: The results obtained in our study are highly satisfactory and encouraging, supporting the role of abdominal dermis fat graft as the interposition material in TMJ Ankylosis cases. However, a large sample size and a longer follow-up period are required to consolidate the findings.
Authors and Affiliations
Varsha S Manekar*, Surendra Daware, Archana Deshpande, Janice Jhon4 and Sujit Wyawhare
Keywords
Related Articles
- EP ID EP755637
- DOI 10.23880/mjccs-16000153
- Views 7
- Downloads 0
Spectrum of Neoplastic & Non-Neoplastic Lesions of Ovary at SBMCH (A Tertiary Care Centre)
Ovary is one of the commonest sites of lesion in the female reproductive tract, which can present among childhood to post-menopausal age group. Diagnosis of ovarian lesions in its early stages is rare, as they are usual...
The Genetic Dosage Imbalance Linked to Clinical Brain Alterations and Mental Disability in Down Syndrome Could be Targeted for Therapeutics Development
Trisomy of human chromosome 21 is a major cause of Mental Disability and other clinical phenotypic abnormalities such as hypotonia, skeletal and heart defects, immunological and haematological defects, collectively k...
The Modified Two-By-Two Fixed Orthodontic Appliance for Anterior Cross Bite in Primary Dentition: A Case Report
Background: Anterior teeth are the mirror of facial appearance plays a vital role in developing facial beauty, self-confidence, attractive personality even in growing child. 1.6 to7.9 % out of 27 % is the total prevalenc...
A Randomized, Comparative Clinical Trial to Evaluate Efficacy and Safety of PNB-001 as Immune Modulator in Moderate COVID-19 Patients
Introduction: Several therapeutic agents are being evaluated for the treatment of coronavirus disease 2019 (COVID-19). PNB-001 is a potent anti-inflammatory agent with immune stimulation properties. It is a first in clas...
Source of Information on Health should be from Respondent and Community not from Health Worker
Most important point in the validity of any research is the information about the problem should be taken from sample of the study (respondent) or study population not from health workers. There are many of academic a...