Management of temporomandibular joint ankylosis with temporalis fascia flap and fat graft |
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| Authors: | Mehtap Karamese Ahmet Duymaz Nevra Seyhan Mustafa Keskin Zekeriya Tosun |
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| Affiliation: | 1. Selcuk University, Medical Faculty, Konya, Turkey;2. Medipol University, Medical Faculty, Istanbul, Turkey;1. Department of Oral & Maxillofacial Surgery, Subharti Dental College, Swami Vivekanand Subharti University, NH-58, Meeurt By Pass Road, Meerut (Uttar Pradesh) – 250005, India;2. Department of Oral & Maxillofacial Surgery, Siddhpur dental college and hospital, Patan Gujarat, India;1. Oral and Maxillofacial Unit, St Vincent’s Hospital Melbourne, Australia;2. Oral Medicine Unit, Melbourne Dental School, University of Melbourne, Australia;1. Department of Oral & Maxillofacial Surgery, Subharti Dental College, Swami Vivekanand Subharti University, NH-58, Meeurt By Pass Road, Meerut (Uttar Pradesh), 250005, India;2. Healthcare & Imaging Centre. 43, Shivaji Road, Near N.A.S. College, Meerut (Uttar Pradesh), India;1. School of Dental Medicine, Faculty of Medicine and Health Sciences (Head of Department: Guy De Pauw, MSc DDS PhD), Ghent University, De Pintelaan 185, 9000 Ghent, Belgium;2. Department of Head and Neck & Maxillo-Facial Surgery, Faculty of Medicine and Health Sciences (Head of Department: Hubert Vermeersch, MD PhD), Ghent University, De Pintelaan 185, 9000 Ghent, Belgium;3. Upper Gastrointestinal Surgery, Department of Molecular Medicine and Surgery (Head of Department: Martin Backdahl, MD PhD), Karolinska Institutet, Norra Stationsgatan 67, 171 76 Stockholm, Sweden |
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| Abstract: | ![]()
AimTemporomandibular joint (TMJ) ankylosis is a serious problem that restricts jaw mobility and causes disturbances in facial and mandibular growth. The purpose of this paper is to present an easy and versatile method for the treatment of TMJ ankylosis to decrease postoperative complications such as re-ankylosis.Material and methodEleven patients who presented with ankylosis of the TMJ underwent surgical release. After performing gap arthroplasty through a preauricular approach, the temporalis fascia flap was transposed to the gap. An autogenous fat graft was then obtained from the abdomen and used as interpositional material. The follow-up time was 3–5 years.ResultsRe-ankylosis did not occur in any of the patients, and all had satisfactory mouth opening.ConclusionSurgical treatment of TMJ ankylosis with gap arthroplasty, interposition of the temporalis fascia flap and fat grafting is an effective and easily procedure for preventing of re-ankylosis. The autogenous nature and close proximity to the joint are the main advantages of the temporalis fascia flap when compared with other interpositional materials, and the fat graft provides additional support by reducing pressure. |
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