Review Article| Volume 19, ISSUE 2, P207-220, September 2011

Resection of the Severely Ankylosed Temporomandibular Joint

      Few deformities of the maxillofacial region present with such a wide constellation of symptoms and clinical findings as ankylosis of the temporomandibular joint. Pain, swelling, disruption of diet and speech, airway complications, and the creation of cosmetic deformities all can result from this severe defect of the mandibular zygomatic complex. The basic surgical goals for correction of this deformity are threefold: to free up the ankylosis, to return the patient to function, and to prevent recurrence. The last 2 of these 3 goals are usually dependent on placement of an interpositional barrier following release of the fibrous or bony fusion that can be either prosthetic or tissue borne.
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      Further readings

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        Surgical approaches to the facial skeleton. 2nd edition. Lippincott Williams and Wilkins, Philadelphia2006
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        Oral and maxillofacial surgery. 2nd edition. vol. 2. Saunders, Philadelphia2009 (p. 901)
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        A protocol for management of temporomandibular joint ankylosis in children.
        J Oral Maxillofac Surg. 2009; 67: 1966-1978
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        • Dodson T.B.
        • et al.
        Efficacy of temporomandibular joint ankylosis surgical treatment.
        J Oral Maxillofac Surg. 2010; 68: 1276-1282
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        The use of autogenous tissue in temporomandibular joint reconstruction.
        J Oral Maxillofac Surg. 2000; 58: 63-69
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        Exercise adherence in patients with trismus due to head and neck oncology: a qualitative study into the use of the Therabite.
        Int J Oral Maxillofac Surg. 2009; 38: 947-954
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        Outcomes of total alloplastic replacement with periarticular autogenous fat grafting for management of reankylosis of the temporomandibular joint.
        J Oral Maxillofac Surg. 2008; 66: 1794-1803
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        The effect of experimental ligation of the external carotid artery and its major branches on hemorrhage from the maxillary artery.
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