Tmj Ankylosis: Management with Reconstruction and Interpositional Arthroplasty
Madhumati, S.; Shruthi, R.; Mitul, S.; Karan, A.; Aziz, A.
Nigerian Journal of Medicine Journal of the National Association of Resident Doctors of Nigeria 24(4): 374-379
2015
ISSN/ISBN: 1115-2613 PMID: 27487617 Document Number: 684536
Temporomandibular joint (TMJ) ankylosis is a very desolating structural condition that involves fusion of the mandibular condyle to the base of the skull. It causes difficulty in mastication and breathing. Trauma and Infections are usually responsible. If trauma occurs in young age, it leads to disturbance in growth & facial asymmetry. Treatment of temporomandibular joint (TMJ) ankylosis usually requires adequate excision of the involved ankylotic block (arthroplasty) or interpositional arthroplasty using autogenous or alloplastic materials. Early mobilization, physiotherapy & strict follow up are essential to prevent postop adhesions. In our cases fascia lata was used as an interpositional grafting material. One case was treated by gap arthroplasty, second case by costochondral graft & third case was managed with titanium condylar prosthesis.