Abstract
A variety of grafts have been used for lining the temporomandibular joint (TMJ) after the resection of an ankylotic mass, but no consensus has been reached as to the most suitable material. The temporalis muscle and fascia (TMF) flap has been widely used as an interpositional graft after the release of TMJ ankylosis because of its advantages over other types of materials, including autogenous dermis and cartilage, and alloplastic materials such as Proplast-Teflon and Silastic.’ Among the advantages of the TMF flap are a dependable blood supply and proximity to the recipient site. In the conventional procedure, the fascia lines the glenoid fossa and the muscle faces the condyle. However, theoretically it would be ideal for the fascia to face the condyle as well as the glenoid fossa, because the fascia could reduce friction in the joint. We report a modified TMF flap for use as an interpositional material in the management of severe ankylosis of the TMJ in which the fascia faces both the condyle and the glenoid fossa.
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