Classification and surgical management of temporomandibular joint ankylosis: a review
| Autor: | Srinivas Gosla Reddy, H. Hari Kishore Bhat, B H Sripathi Rao, Varsha Haridas Upadya |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Distraction osteogenesis
Orthodontics business.industry medicine.medical_treatment Ankylosis Review Article Airway obstruction Classification medicine.disease Osteotomy Arthroplasty Temporomandibular joint law.invention medicine.anatomical_structure Randomized controlled trial law medicine Surgery Oral Surgery business Cohort study |
| Zdroj: | Journal of the Korean Association of Oral and Maxillofacial Surgeons |
| ISSN: | 2234-5930 2234-7550 |
| Popis: | The paper reviews various classifications and surgical techniques for the treatment of temporomandibular joint ankylosis. PubMed, EBSCO, Web of Science, and Google Scholar were searched using a combination of keywords. Articles related to classification, resection-reconstruction of the temporomandibular joint, and management of airway obstruction were considered and categorized based on the objectives. Seventy-nine articles were selected, which included randomized clinical trials, non-randomized controlled cohort studies, and case series. Though several classifications exist, most classifications are centered on the radiographic extent of the ankylotic mass and do not include the clinical and functional parameters. Hence there is a need for a comprehensive staging system that takes into consideration the age of the patient, severity of the disease, clinical, functional, and radiographic findings. Staging the disease will help the clinician to adopt a holistic approach in treating these patients. Interpositional arthroplasty (IA) results in better maximal incisal opening compared with gap arthroplasty, with no significant difference in recurrent rates. Distraction osteogenesis (DO) is emerging as a popular technique for the restoration of symmetry and function as well as for relieving airway obstruction. IA, with a costochondral graft, is recommended in growing patients and may be combined with or preceded by DO in cases of severe airway obstruction. Alloplastic total joint replacement combined with fat grafts and simultaneous osteotomy procedures are gaining popularity. A custom-made total joint prosthesis using CAD/CAM can efficiently overcome the shortcomings of stock prostheses. |
| Databáze: | OpenAIRE |
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