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
- Management of middle meningeal and superficial temporal artery hemorrhage from total temporomandibular joint replacement surgery with a gelatin based hemostatic agent.J Craniofac Surg. 2005; 16: 309-312
- Surgical approaches to the facial skeleton. 2nd edition. Lippincott Williams and Wilkins, Philadelphia2006
- Oral and maxillofacial surgery. 2nd edition. vol. 2. Saunders, Philadelphia2009 (p. 901)
- A protocol for management of temporomandibular joint ankylosis in children.J Oral Maxillofac Surg. 2009; 67: 1966-1978
- Efficacy of temporomandibular joint ankylosis surgical treatment.J Oral Maxillofac Surg. 2010; 68: 1276-1282
- The use of autogenous tissue in temporomandibular joint reconstruction.J Oral Maxillofac Surg. 2000; 58: 63-69
- 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
- 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
- The use of alloplastic prostheses for temporomandibular joint reconstruction.J Oral Maxillofac Surg. 2000; 58: 70-75
- The effect of experimental ligation of the external carotid artery and its major branches on hemorrhage from the maxillary artery.J Oral Surg. 1982; 11: 251-259
- A retrospective study of the costochondral graft in TMJ reconstruction.Int J Oral Maxillofac Surg. 2003; 32: 606-609
Article info
Footnotes
The author is a paid consultant for Biomet Microfixation, 1520 Tradeport Drive, Jacksonville, FL 32218.
Identification
Copyright
© 2011 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
