Abstract
ackground and Objectives: The aim f this study is to report the Egyptian xperience in the management of temporoandibular joint (TMJ) ankylosis at Tanta niversity, and to discuss the outcomes nd complications of different surgical odalities employed in the Department of ral and Maxillofacial Surgery, during the eriod 1995 to 2006. ethods: One hundred and one patients 109 joints), who met the inclusion crieria were reviewed in this retrospective tudy. The preand postoperative assessent included a detailed patient history, adiological and physical examination, egree of deformity and mouth openng. Data concerning age, sex, aetiology, oint(s) affected, different surgical modalties, complications and follow-up periods ere evaluated. esults: Various stages of TMJ ankylosis fibrous, bony or mixed) were diagnosed; he trauma was found to be the most requent aetiological factor. The age of he patients’ ranged from 2 to 41 years mean 19.4 years), 62.4% of them were emales, and were followed up for 14–96 onths (mean 28.9 months). The average outh opening was significantly increased rom 5.3 mm preoperatively to 32.5 mm months postoperatively (P= 0.000). arked improvement was documented hen the ramus-joint complex was recontructed using distraction osteogenesis lus interposition temporomyofascial flap TMF; 35.1 mm); costochondral graft plus MF (33.5 mm) or buccal pad fat flap 34.6 mm); coronoid process graft plus MF (34.4 mm); and Surgibone (35.1 mm) P= 0.001]. Operative and postoperative omplications (33.3%) included transient acial palsy (11.0%); bleeding (5.6%); nfection (4.6%); and reankylosis (4.6%). onclusion: It can be concluded that early elease of the TMJ ankylosis, reconstrucion of the ramus height with DO or one graft, separation of the articulating are bone with interpositional autologous aps followed by postoperative vigorous hysiotherapy was found to be the best line of treatment for management of TMJ ankylosis.
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