title: Retrospective analysis of use of buccal fat pad as an interpositional graft in temporomandibular joint ankylosis: preliminary study.
abstract: OBJECTIVE
  To evaluate the feasibility and usefulness of buccal fat pad as an interpositional graft in the treatment of temporomandibular joint (TMJ) ankylosis.
  
  
  METHODS
  A retrospective study of 10 patients with TMJ ankylosis (9 unilateral and 1 bilateral) was performed with follow-up of 6 months to 2 years.
  
  
  RESULTS
  In the present study, patients had a maximum interincisal opening of 32 to 41 mm (mean, 35.1 mm) at the latest follow-up. Mean deviation to the affected side on mouth opening was 1.6 mm (range, 0 to 4 mm), but chewing function was good and all the patients were satisfied. No major occlusal changes were observed and all the patients had satisfactory occlusion at the follow-up periods. No facial paresis of temporal and zygomatic branch of facial nerve was observed in any case. Periodic panoramic radiographs showed well-maintained intra-articular space because of the interposed tissue, with no signs of relapse.
  
  
  CONCLUSIONS
  The findings of this study showed the short-term successful management of TMJ ankylosis using buccal fat pad as an interpositional graft.
authors.affiliation: Department of Oral and Maxillofacial Surgery, Government Dental College, Pt BD Sharma University of Health Sciences, Rohtak, Haryana, India. drvirendrasingh1@yahoo.co.in
authors.forename: Virendra
authors.initials: V
authors.lastname: Singh
authors.forename: Rahul
authors.initials: R
authors.lastname: Dhingra
authors.forename: Bindu
authors.initials: B
authors.lastname: Sharma
authors.forename: Amrish
authors.initials: A
authors.lastname: Bhagol
authors.forename: Prashant
authors.initials: P
authors.lastname: Kumar
mesh_terms: D000273:Adipose Tissue / Q000637:transplantation*; D000293:Adolescent; D000328:Adult; D000844:Ankylosis / Q000601:surgery*; D001178:Arthroplasty / Q000379:methods*; D002610:Cheek; D002648:Child; D005146:Facial Asymmetry / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D010865:Pilot Projects; D016059:Range of Motion, Articular; D012189:Retrospective Studies; D013705:Temporomandibular Joint Disorders / Q000601:surgery*; D016896:Treatment Outcome; D055815:Young Adult