{"title":"外伤性颞下颌关节强直的治疗：病例报告","authors":"Cheng-Han He","doi":"10.1016/j.omsc.2023.100344","DOIUrl":null,"url":null,"abstract":"<div><p>Ankylosis of temporomandibular joint (TMJ) is a complicated condition which impairs jaw function and nutrition. Post-traumatic joint ankylosis could be treated with various surgical techniques. However, no standard surgery guarantees symptom-free success. Treating post-traumatic TMJ thus remains a challenging task to oral and maxillofacial surgeons. This paper is a case of a bilateral post-traumatic TMJ ankylosis. The 27-year-old young man sustained mid-face and mandible fractures including bilateral condyles due to a road accident and was treated 7 years ago. The injured condyles are managed conservatively. He presented with limited mouth opening (13mm) along with bite changes. Conservative treatments failed to restore normal jaw movement. Preoperative cone beam CT revealed ankyloses joint of both sides. An arthroplasty with the interpositional umbilical fat grafting was performed. Follow-up course was uneventful with up to 40mm mouth opening. Arthroplasty with interpositional fat grafting is an effective technique to restore jaw function and to prevent relapse.</p></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2024-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214541923000536/pdfft?md5=d6356f76640e3c2e37c565340c702fa1&pid=1-s2.0-S2214541923000536-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Management of traumatic temporomandibular joint ankylosis: A case report\",\"authors\":\"Cheng-Han He\",\"doi\":\"10.1016/j.omsc.2023.100344\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><p>Ankylosis of temporomandibular joint (TMJ) is a complicated condition which impairs jaw function and nutrition. Post-traumatic joint ankylosis could be treated with various surgical techniques. However, no standard surgery guarantees symptom-free success. Treating post-traumatic TMJ thus remains a challenging task to oral and maxillofacial surgeons. This paper is a case of a bilateral post-traumatic TMJ ankylosis. The 27-year-old young man sustained mid-face and mandible fractures including bilateral condyles due to a road accident and was treated 7 years ago. The injured condyles are managed conservatively. He presented with limited mouth opening (13mm) along with bite changes. Conservative treatments failed to restore normal jaw movement. Preoperative cone beam CT revealed ankyloses joint of both sides. An arthroplasty with the interpositional umbilical fat grafting was performed. Follow-up course was uneventful with up to 40mm mouth opening. Arthroplasty with interpositional fat grafting is an effective technique to restore jaw function and to prevent relapse.</p></div>\",\"PeriodicalId\":38030,\"journal\":{\"name\":\"Oral and Maxillofacial Surgery Cases\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-01-07\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.sciencedirect.com/science/article/pii/S2214541923000536/pdfft?md5=d6356f76640e3c2e37c565340c702fa1&pid=1-s2.0-S2214541923000536-main.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Oral and Maxillofacial Surgery Cases\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2214541923000536\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"Dentistry\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Oral and Maxillofacial Surgery Cases","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2214541923000536","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Dentistry","Score":null,"Total":0}
Management of traumatic temporomandibular joint ankylosis: A case report
Ankylosis of temporomandibular joint (TMJ) is a complicated condition which impairs jaw function and nutrition. Post-traumatic joint ankylosis could be treated with various surgical techniques. However, no standard surgery guarantees symptom-free success. Treating post-traumatic TMJ thus remains a challenging task to oral and maxillofacial surgeons. This paper is a case of a bilateral post-traumatic TMJ ankylosis. The 27-year-old young man sustained mid-face and mandible fractures including bilateral condyles due to a road accident and was treated 7 years ago. The injured condyles are managed conservatively. He presented with limited mouth opening (13mm) along with bite changes. Conservative treatments failed to restore normal jaw movement. Preoperative cone beam CT revealed ankyloses joint of both sides. An arthroplasty with the interpositional umbilical fat grafting was performed. Follow-up course was uneventful with up to 40mm mouth opening. Arthroplasty with interpositional fat grafting is an effective technique to restore jaw function and to prevent relapse.
期刊介绍：
Oral and Maxillofacial Surgery Cases is a surgical journal dedicated to publishing case reports and case series only which must be original, educational, rare conditions or findings, or clinically interesting to an international audience of surgeons and clinicians. Case series can be prospective or retrospective and examine the outcomes of management or mechanisms in more than one patient. Case reports may include new or modified methodology and treatment, uncommon findings, and mechanisms. All case reports and case series will be peer reviewed for acceptance for publication in the Journal.
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