Versatility of full thickness skin-subcutaneous fat grafts as interpositional material in the management of temporomandibular joint ankylosis.
The authors present a review of seven patients (eight joints) with temporomandibular ankylosis treated between 2007 and 2008. The aim of this retrospective study was to present the experience of using full thickness skin-subcutaneous fat grafts, harvested from the patient's abdomen as interpositional material after gap arthroplasty. All patients presented with osseous ankylosis and were graded according to Topazian's classification. Postoperative follow up ranged from 12 to 24 months. Maximal inter-incisal opening (MIO) on presentation ranged from 0 to 8mm, which stabilized to 27-44mm at follow up. There was no evidence of re-ankylosis. This study found merit in the use of autogenous full thickness skin-subcutaneous fat graft as an interpositional material for up to 2 years following ankylosis release.
Division of Oral and Maxillofacial Surgery, Rajah Muthiah Dental College and Hospitals, Chidambaram, Tamil Nadu, India. omfsvat@hotmail.com
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A
Thangavelu
K
K
Santhosh Kumar
A
A
Vaidhyanathan
M
M
Balaji
R
R
Narendar
D000293:Adolescent; D000328:Adult; D000844:Ankylosis / Q000145:classification / Q000601:surgery*; D001178:Arthroplasty / Q000379:methods*; D005081:Exercise Therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D016059:Range of Motion, Articular / Q000502:physiology; D012008:Recurrence; D012086:Reoperation; D012189:Retrospective Studies; D016038:Skin Transplantation / Q000379:methods*; D050507:Subcutaneous Fat, Abdominal / Q000637:transplantation*; D013704:Temporomandibular Joint / Q000293:injuries; D013705:Temporomandibular Joint Disorders / Q000145:classification / Q000601:surgery*; D016896:Treatment Outcome; D055815:Young Adult