Re-Assessment of Coronoid as a Graft for Condylar Reconstruction in TMJ Ankylosis Patients: A Prospective Study and Literature Review
| Autor: | Vibha Singh, Kuldeep Vishwakarma, Shiwani Garg, G.K. Mehta, Rakesh Kumar Chak, Hari Ram, Shadab Mohammad |
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| Rok vydání: | 2015 |
| Předmět: |
Orthodontics
medicine.medical_specialty business.industry Autogenous graft Dentistry 030206 dentistry medicine.disease Condyle 03 medical and health sciences Plastic surgery 0302 clinical medicine Otorhinolaryngology Ankylosis medicine Oral and maxillofacial surgery Surgery Tmj ankylosis Oral Surgery 030223 otorhinolaryngology business Prospective cohort study Research Paper |
| Zdroj: | Journal of maxillofacial and oral surgery. 16(2) |
| ISSN: | 0972-8279 |
| Popis: | Treatment for TMJ ankylosis aims at restoring joint function, improving the patient's aesthetic appearance and quality of life and preventing re-ankylosis. To rebuild a structurally and functionally satisfactory neocondyle is a challenging problem. Aim of this study is to re-assess the coronoid as a graft for condyle reconstruction.Twenty patients of TMJ ankylosis without involvement of the coronoid process in ankylotic mass, coming in age group elder than 14 years were selected for the study over a period 3 years from 2011 to 2014. Clinical examination, radiographs, and photographs were used postoperatively to evaluate the grafts and TMJ function. After osteoarthrectomy coronoid process was detached and fixed with a 4 hole L-shaped titanium miniplate to form neo condyle.No donor site morbidity was observed as reported with other autogenous grafts. Satisfactory mouth opening was observed during follow up period with mean mouth opening 37.33 ± 4.20 mm except one case which required graft removal due to postoperative infection. Radiographically moderate amount of resorption of grafted coronoid process was observed in nearly all the cases however satisfactory mandibular function and occlusion was observed. |
| Databáze: | OpenAIRE |
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