title: Evaluation of discectomy and dermis-fat grafting on the contralateral side.
abstract: OBJECTIVE
  We investigated the effects of unilateral discectomy with an abdominal dermis-fat graft of the temporomandibular joint (TMJ) on the contralateral side.
  
  
  METHODS
  A total of 14 patients who underwent unilateral TMJ discectomy and dermis-fat grafting for severe internal derangement in 2009 and 2010 were included. Clinical parameters, such as maximum mouth opening and lateral movements of the mandible, were recorded preoperatively and at 1 year postoperatively. Preoperative and 1-year postoperative magnetic resonance imaging was conducted to determine the duration of the operated and unoperated TMJs.
  
  
  CONCLUSIONS
  All 14 patients showed improvement in the mandibular mobility and function. However, postsurgical disc displacement without reduction was observed on the unoperated TMJ in 1 patient. Another patient complained of crepitus on the operated TMJ. Primary occlusal contact on the operated side of occlusion was observed in 2 other patients. Maximum mouth opening and measured lateral movements had increased in all patients at 1 year after the operation.
authors.affiliation: Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Karadeniz Technical University, Trabzon, Turkey. drcandarli@hotmail.com
authors.forename: Celal
authors.initials: C
authors.lastname: Candirli
authors.forename: Alparslan
authors.initials: A
authors.lastname: Esen
authors.forename: Fatih
authors.initials: F
authors.lastname: Taskesen
authors.forename: Salih
authors.initials: S
authors.lastname: Celik
authors.forename: Banu
authors.initials: B
authors.lastname: Cakir
mesh_terms: D050153:Abdominal Fat / Q000637:transplantation*; D000328:Adult; D020405:Dermis / Q000637:transplantation*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D019224:Temporomandibular Joint Disc / Q000503:physiopathology / Q000601:surgery*; D013705:Temporomandibular Joint Disorders / Q000503:physiopathology / Q000601:surgery*; D016896:Treatment Outcome