Tags

Type your tag names separated by a space and hit enter

Modified Cut for Gap Arthroplasty in Temporomandibular Joint Ankylosis.
Ann Maxillofac Surg. 2019 Jul-Dec; 9(2):400-402.AM

Abstract

Temporomandibular joint ankylosis is a debilitating disease affecting the function, esthetics and psychology of the patient. Treatment of this condition aims at establishing not only the function and esthetics but also aims to prevent reankylosis. Among the different treatment modalities, interpositional gap arthroplasty followed by aggressive jaw physiotherapy is considered most effective. This is achieved by making two horizontal osteotomy cuts at a distance of 10-15 mm in the TMJ region. The gap is then interposed with an autogenous or alloplastic graft material. However, during the application of a jaw stretcher intraoperatively with the surgical site open and with the jaw wide open, a bony contact was seen to occur between the posterior aspect of the upper and lower osteotomy cuts. Taking this into consideration, the lower osteotomy cut is modified by making the posterior one-third cut divergent. This eliminates the bony contact during maximum mouth opening and thus prevents the chances of reankylosis as well.

Authors+Show Affiliations

Department of Oral and Maxillofacial Surgery, Nair Hospital Dental College, Mumbai, Maharashtra, India.Department of Oral and Maxillofacial Surgery, Nair Hospital Dental College, Mumbai, Maharashtra, India.Department of Oral and Maxillofacial Surgery, Nair Hospital Dental College, Mumbai, Maharashtra, India.Department of Oral and Maxillofacial Surgery, Nair Hospital Dental College, Mumbai, Maharashtra, India.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31909023

Citation

Andrade, Neelam Noel, et al. "Modified Cut for Gap Arthroplasty in Temporomandibular Joint Ankylosis." Annals of Maxillofacial Surgery, vol. 9, no. 2, 2019, pp. 400-402.
Andrade NN, Nerurkar SA, Mathai P, et al. Modified Cut for Gap Arthroplasty in Temporomandibular Joint Ankylosis. Ann Maxillofac Surg. 2019;9(2):400-402.
Andrade, N. N., Nerurkar, S. A., Mathai, P., & Aggarwal, N. (2019). Modified Cut for Gap Arthroplasty in Temporomandibular Joint Ankylosis. Annals of Maxillofacial Surgery, 9(2), 400-402. https://doi.org/10.4103/ams.ams_269_18
Andrade NN, et al. Modified Cut for Gap Arthroplasty in Temporomandibular Joint Ankylosis. Ann Maxillofac Surg. 2019 Jul-Dec;9(2):400-402. PubMed PMID: 31909023.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Modified Cut for Gap Arthroplasty in Temporomandibular Joint Ankylosis. AU - Andrade,Neelam Noel, AU - Nerurkar,Shibani Abhay, AU - Mathai,Paul, AU - Aggarwal,Neha, PY - 2020/1/8/entrez PY - 2020/1/8/pubmed PY - 2020/1/8/medline KW - Gap arthroplasty KW - modified cut KW - re-ankylosis SP - 400 EP - 402 JF - Annals of maxillofacial surgery JO - Ann Maxillofac Surg VL - 9 IS - 2 N2 - Temporomandibular joint ankylosis is a debilitating disease affecting the function, esthetics and psychology of the patient. Treatment of this condition aims at establishing not only the function and esthetics but also aims to prevent reankylosis. Among the different treatment modalities, interpositional gap arthroplasty followed by aggressive jaw physiotherapy is considered most effective. This is achieved by making two horizontal osteotomy cuts at a distance of 10-15 mm in the TMJ region. The gap is then interposed with an autogenous or alloplastic graft material. However, during the application of a jaw stretcher intraoperatively with the surgical site open and with the jaw wide open, a bony contact was seen to occur between the posterior aspect of the upper and lower osteotomy cuts. Taking this into consideration, the lower osteotomy cut is modified by making the posterior one-third cut divergent. This eliminates the bony contact during maximum mouth opening and thus prevents the chances of reankylosis as well. SN - 2231-0746 UR - https://www.unboundmedicine.com/medline/citation/31909023/Modified_Cut_for_Gap_Arthroplasty_in_Temporomandibular_Joint_Ankylosis L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/31909023/ DB - PRIME DP - Unbound Medicine ER -
Try the Free App:
Prime PubMed app for iOS iPhone iPad
Prime PubMed app for Android
Prime PubMed is provided
free to individuals by:
Unbound Medicine.