Complications associated with different surgical modalities for management of temporomandibular ankylosis in a series of 791 cases

Asian Journal of Oral and Maxillofacial Surgery Pub Date : 2011-08-01 DOI:10.1016/j.ajoms.2010.11.005

Divya Mehrotra , R. Pradhan , S. Mohammad , S. Kumar

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引用次数: 15

Abstract

Objective

Various modalities of treatment for temporomandibular ankylosis have been undertaken from time to time. The aim of this study was to analyse the most successful treatment modality for the management of temporomandibular ankylosis and review their complications.

Study design

This clinical study of 791 patients of temporomandibular joint ankylosis, included 623 interposition arthroplasty with temporal fascia, 48 dermal fat, 29 auricular cartilage, 12 acrylic joint replacement, 11 silicon, 24 costochondral graft, 23 sternoclavicular graft, and 21 chondro-osseous iliac graft. These patients were evaluated with regard to type of ankylosis, pre and postoperative mouth opening, and associated complications.

Results

Complications like recurrence (4.80%), involvement of facial nerve (3.67%), anterior open bite (19.09%) and overgrowth of graft (0.5%) were observed in a follow up period ranging from 2 to 17 years.

Conclusion

Sternoclavicular graft reconstruction in children and dermal fat interposition arthroplasty in adults should be the treatment of choice for management of temporomandibular ankylosis.

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791例颞下颌强直不同手术方式的并发症分析

目的颞下颌强直的治疗方法多种多样。本研究的目的是分析治疗颞下颌强直最成功的治疗方式，并回顾其并发症。本临床研究791例颞下颌关节强直患者，其中颞筋膜置换术623例，真皮脂肪48例，耳软骨29例，丙烯酸关节置换术12例，硅片11例，肋软骨移植物24例，胸锁骨移植物23例，髂骨软骨移植物21例。评估这些患者的强直类型、术前和术后开口以及相关并发症。结果随访2 ~ 17年，术后出现复发(4.80%)、累及面神经(3.67%)、前牙开咬(19.09%)、移植物过度生长(0.5%)等并发症。结论儿童胸锁骨移植重建术和成人真皮脂肪置换术是治疗颞下颌强直的首选方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Asian Journal of Oral and Maxillofacial Surgery

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