title: Treatment of temporomandibular joint ankylosis with temporalis superficial fascia flap.
abstract: Temporomandibular joint (TMJ) ankylosis is characterized by the formation of bony or fibrous mass, which replaces the normal articulation and limitation of mouth opening. This study aims to determine the efficacy of arthroplasty and interpositional fascia flap in the treatment of unilateral and bilateral TMJ ankylosis in three young adult men. Our operative protocol for unilateral and bilateral TMJ ankylosis entailed resection of ankylotic mass, intraoral ipsilateral and bilateral arthroplasty, interpositional tissue transfer to the TMJ with temporalis superficial fascia flap, maxillomandibular fixation, and early mobilization and aggressive physiotherapy. Early postoperative initial exercise, physiotherapy, and strict follow-up play an important role in preventing postoperative adhesions. The temporalis superficial facia flap is an autogenous graft that has the advantages of close proximity to the TMJ minimal surgical morbidity, and successful clinical results. It was found to be a valuable option for TMJ ankylosis reconstruction.
authors.affiliation: Department of Oral and Maxillofacial Surgery, Ankara University Faculty of Dentistry, Ankara, Turkey.
authors.forename: Hakan Alpay
authors.initials: HA
authors.lastname: Karasu
authors.forename: Kemal Murat
authors.initials: KM
authors.lastname: Okcu
authors.forename: Kerim
authors.initials: K
authors.lastname: Ortakoglu
authors.forename: Gurkan Rasit
authors.initials: GR
authors.lastname: Bayar
authors.forename: Yavuz Sinan
authors.initials: YS
authors.lastname: Aydintug
mesh_terms: D000328:Adult; D000844:Ankylosis / Q000503:physiopathology / Q000601:surgery*; D005205:Fascia / Q000637:transplantation; D006801:Humans; D008297:Male; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps; D013705:Temporomandibular Joint Disorders / Q000503:physiopathology / Q000601:surgery*; D016896:Treatment Outcome