Reconstruction of ankylosed temporomandibular joint: Sternoclavicular grafting as an approach to management.
A retrospective analysis of 15 cases of ankylosed temporomandibular joint (TMJ) reconstructed, with sternoclavicular joint graft (SCG), during the period 2002-2007 was undertaken. All cases were analyzed for functional adaptation of the graft, considering maximum interincisal opening, and protrusive and laterotrusive movement of the jaw. Significant improvement was noticed in all cases except one, although maximum improvement was seen 3-6 months postoperatively. Radiological evaluation was carried out at regular intervals for 2-3 years to assess the anatomical adaptation of the graft. No major postoperative complications were observed and all the cases showed complete regeneration of the clavicle during follow up. This finding indicates that reconstruction of ankylosed TMJ with sternoclavicular joint graft is a satisfactory method of treatment.
Department of Oral and Maxillofacial Surgery, Govt. Dental College, Post Graduate Institute of Medical Science, Rohtak 124001, Haryana, India. drvirendrasingh1@yahoo.co.in
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Singh
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Verma
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Kumar
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Bhagol
D000222:Adaptation, Physiological / Q000502:physiology; D000293:Adolescent; D000844:Ankylosis / Q000209:etiology / Q000601:surgery*; D001178:Arthroplasty / Q000379:methods*; D001861:Bone Regeneration / Q000502:physiology; D016723:Bone Remodeling / Q000502:physiology; D016025:Bone Transplantation / Q000379:methods*; D002356:Cartilage / Q000637:transplantation; D002508:Cephalometry / Q000379:methods; D002648:Child; D002968:Clavicle / Q000502:physiology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008334:Mandible / Q000254:growth & development / Q000473:pathology; D008335:Mandibular Condyle / Q000473:pathology; D011183:Postoperative Complications; D016059:Range of Motion, Articular / Q000502:physiology; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D013247:Sternoclavicular Joint / Q000601:surgery; D013705:Temporomandibular Joint Disorders / Q000209:etiology / Q000601:surgery*; D020858:Tissue and Organ Harvesting / Q000379:methods; D016896:Treatment Outcome