Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
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Treatment of Temporomandibular Joint Reankylosis by Submandibular Anchorage Technique with Temporalis Myofascial Flap

  • Kim, Jun-Young (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University) ;
  • Kim, Jae-Young (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University) ;
  • Jung, Young-Soo (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University) ;
  • Nam, Woong (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University)
  • Received : 2013.10.21
  • Accepted : 2014.01.14
  • Published : 2014.03.31
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Abstract

Management of temporomandibular joint (TMJ) ankylosis is challenging for the oral and maxillofacial surgeon because it involves the mouth opening, dentofacial deformity, diet problem, and quality of life. Although surgical techniques to treat TMJ ankylosis have improved, reankylosis is a persistent problem. The temporalis myofascial flap provides good material for interpositional arthroplasty, because of its good vascular supply, anatomic proximity, and adequate thickness. This case report examines the efficacy of submandibular anchorage to prevent reankylosis by inhibiting flap dislocation.

Keywords

References

  1. Kim SG. Treatment of temporomandibular joint ankylosis with temporalis muscle and fascia flap. Int J Oral Maxillofac Surg 2001;30:189-93. https://doi.org/10.1054/ijom.2001.0047
  2. Talebzadeh N, Rosenstein TP, Pogrel MA. Anatomy of the structures medial to the temporomandibular joint. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1999;88:674-8. https://doi.org/10.1016/S1079-2104(99)70008-9
  3. Danda AK, S R, Chinnaswami R. Comparison of gap arthroplasty with and without a temporalis muscle flap for the treatment of ankylosis. J Oral Maxillofac Surg 2009;67:1425-31. https://doi.org/10.1016/j.joms.2008.12.049
  4. Chossegros C, Guyot L, Cheynet F, et al. Comparison of different materials for interposition arthroplasty in treatment of temporomandibular joint ankylosis surgery: long-term follow-up in 25 cases. Br J Oral Maxillofac Surg 1997;35:157-60. https://doi.org/10.1016/S0266-4356(97)90554-4
  5. Balaji SM. Modified temporalis anchorage in craniomandibular reankylosis. Int J Oral Maxillofac Surg 2003;32:480-5. https://doi.org/10.1016/S0901-5027(03)90396-6
  6. Al-Kayat A, Bramley P. A modified pre-auricular approach to the temporomandibular joint and malar arch. Br J Oral Surg 1979;17:91-103. https://doi.org/10.1016/S0007-117X(79)80036-0
  7. Ahmad QG, Siddiqui RA, Khan AH, Sharma SC. Interposition arthroplasty in temporomandibular joint ankylosis. Indian J Otolaryngol Head Neck Surg 2004;56:5-8.
  8. Roychoudhury A, Parkash H, Trikha A. Functional restoration by gap arthroplasty in temporomandibular joint ankylosis: a report of 50 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1999;87:166-9. https://doi.org/10.1016/S1079-2104(99)70267-2
  9. Adekeye EO. Ankylosis of the mandible: analysis of 76 cases. J Oral Maxillofac Surg 1983;41:442-9. https://doi.org/10.1016/0278-2391(83)90129-5
  10. Reid R, Cooke H. Postoperative ionizing radiation in the management of heterotopic bone formation in the temporomandibular joint. J Oral Maxillofac Surg 1999;57:900-5. https://doi.org/10.1016/S0278-2391(99)90003-4
  11. Erol B, Tanrikulu R, Gorgun B. A clinical study on ankylosis of the temporomandibular joint. J Craniomaxillofac Surg 2006;34:100-6.
  12. Bulgannawar BA, Rai BD, Nair MA, Kalola R. Use of temporalis fascia as an interpositional arthroplasty in temporomandibular joint ankylosis: analysis of 8 cases. J Oral Maxillofac Surg 2011;69:1031-5. https://doi.org/10.1016/j.joms.2010.02.043
  13. Guruprasad Y, Chauhan DS, Cariappa KM. A retrospective study of temporalis muscle and fascia flap in treatment of TMJ ankylosis. J Maxillofac Oral Surg 2010;9:363-8. https://doi.org/10.1007/s12663-010-0139-z
  14. Bradley P, Brockbank J. The temporalis muscle flap in oral reconstruction. A cadaveric, animal and clinical study. J Maxillofac Surg 1981;9:139-45. https://doi.org/10.1016/S0301-0503(81)80034-3
  15. Umeda H, Kaban LB, Pogrel MA, Stern M. Long-term viability of the temporalis muscle/fascia flap used for temporomandibular joint reconstruction. J Oral Maxillofac Surg 1993;51:530-3. https://doi.org/10.1016/S0278-2391(10)80509-9
  16. Nestal-Zibo H, Leibur E, Voog-Oras U, Tamme T. Use of the suture anchor in interpositional arthroplasty of temporomandibular joint ankylosis. Oral Maxillofac Surg 2012;16:157-62. https://doi.org/10.1007/s10006-011-0283-8
  17. Feinberg SE, Larsen PE. The use of a pedicled temporalis muscle-pericranial flap for replacement of the TMJ disc: preliminary report. J Oral Maxillofac Surg 1989;47:142-6.

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