Abstract
Background: Different interpositional materials have been used to prevent recurrence after gap arthroplasty in temporomandibular joint ankylosis. In this study, the temporalis superficial fascia flap was evaluated as an interpositional material after condylectomy.
 Â Materials and Methods: 9 Cases of unilateral or bilateral temporomandibular joint ankylosis were evaluated in this study with a follow-up of 12 months. The Al-khayat approach was used as the surgical technique with the inferiorly based temporalis superficial fascia flap.
 Â Results: 9 Patients (6 female and 3 male) had a preoperative maximal inter-incisal opening of 3 to 10 mm. During the last follow-up observation after surgery, patients had a maximum inter-incisal opening of 40 to 45 mm. Paresthesia or anesthesia of the temporal branch of facial nerve was absent in all cases. There were no signs of re-ankylosing in any of the patients.
 Â Conclusion: The findings of this study showed that the temporalis superficial fascia flap is a good alternative as an interpositional material in treatment of temporomandibular joint ankylosis.
Highlights
Ankylosis of temporomandibular joint (TMJ) refers to adhesion of bones or fibrosis of Joint anatomical components which may lead to loss of function in the joint [1]
The objective of this study was to evaluate the results of using temporalis myofascial flap in patients suffering from TMJ ankylosis
The study was conducted on 9 patients (6 females and 3males) between 8-59 years-old. 5 patients were suffering from ankylosis of the right joint and 4 patients of the left
Summary
Ankylosis of temporomandibular joint (TMJ) refers to adhesion of bones or fibrosis of Joint anatomical components which may lead to loss of function in the joint [1]. This condition is likely to occur in both children and adults. The temporalis superficial fascia flap was evaluated as an interpositional material after condylectomy. Materials and Methods: 9 Cases of unilateral or bilateral temporomandibular joint ankylosis were evaluated in this study with a follow-up of 12 months. Conclusion: The findings of this study showed that the temporalis superficial fascia flap is a good alternative as an interpositional material in treatment of temporomandibular joint ankylosis. Conclusion: The findings of this study showed that the temporalis superficial fascia flap is a good alternative as an interpositional material in treatment of temporomandibular joint ankylosis. [GMJ. 2013;2(4):183-6]
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