Correction of hypoplastic mandible in non-syndromic temporomandibular joint ankylosis patients with distraction osteogenesis in Mayo Hospital Lahore: A descriptive study.

Abstract

To evaluate the efficacy of simultaneous gap arthroplasty and distraction osteogenesis in the treatment of non-syndromic temporomandibular joint ankylosis patients with hypoplastic mandible. The descriptive prospective study was conducted at the Department of Oral and Maxillofacial Surgery, King Edward Medical University / Mayo Hospital, Lahore, Pakistan, from January to December, 2016, and comprised patients having temporomandibular joint ankylosis with hypoplastic mandible. Interpositional gap arthoplasty, osteotomy and application of distractor were done in all the patients. Preoperative and post operative data was collected and analysed us in gSPSS12 . Of the 63 patients, 29(46%) were males with a mean age of 18.48±2.32 years and 34(54%) were females with a mean age of 16.41±3.21 years. Overall mean age was 17.37±3 years (range: 9- 24 years). Of the total, 20(32%) patients were given a single distractor on ramus per side, while 43(68%) were given double distractors (ramus + body) per side. Lengthening was achieved in all (100%) patients both in ramus and body. Only 1(1.6%) patient presented with a complication during the distraction period, and the case was successfully managed surgically. Distraction osteogenesis is a promising treatment option for the correction of mandibular deformities as a result of temporomandibular joint ankylosis.