title: Management of temporomandibular joint ankylosis with temporalis fascia flap and fat graft.
abstract: OBJECTIVE
  Temporomandibular joint (TMJ) ankylosis is a serious problem that restricts jaw mobility and causes disturbances in facial and mandibular growth. The purpose of this paper is to present an easy and versatile method for the treatment of TMJ ankylosis to decrease postoperative complications such as re-ankylosis.
  
  
  METHODS
  Eleven patients who presented with ankylosis of the TMJ underwent surgical release. After performing gap arthroplasty through a preauricular approach, the temporalis fascia flap was transposed to the gap. An autogenous fat graft was then obtained from the abdomen and used as interpositional material. The follow-up time was 3-5 years.
  
  
  RESULTS
  Re-ankylosis did not occur in any of the patients, and all had satisfactory mouth opening.
  
  
  CONCLUSIONS
  Surgical treatment of TMJ ankylosis with gap arthroplasty, interposition of the temporalis fascia flap and fat grafting is an effective and easily procedure for preventing of re-ankylosis. The autogenous nature and close proximity to the joint are the main advantages of the temporalis fascia flap when compared with other interpositional materials, and the fat graft provides additional support by reducing pressure.
authors: Selcuk University, Medical Faculty, Konya, Turkey. Electronic address: mehtapef@yahoo.com.
authors: Mehtap
authors: M
authors: Karamese
authors: Ahmet
authors: A
authors: Duymaz
authors: Nevra
authors: N
authors: Seyhan
authors: Mustafa
authors: M
authors: Keskin
authors: Zekeriya
authors: Z
authors: Tosun
mesh_terms: D050153:Abdominal Fat / Q000637:transplantation*; D000293:Adolescent; D000328:Adult; D000844:Ankylosis / Q000601:surgery*; D001178:Arthroplasty / Q000379:methods; D064592:Autografts / Q000637:transplantation; D002648:Child; D002675:Child, Preschool; D005081:Exercise Therapy; D005205:Fascia / Q000637:transplantation*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008409:Mastication / Q000502:physiology; D008875:Middle Aged; D016059:Range of Motion, Articular / Q000502:physiology; D013524:Surgical Flaps / Q000637:transplantation*; D013703:Temporal Muscle / Q000637:transplantation*; D013705:Temporomandibular Joint Disorders / Q000601:surgery*; D016896:Treatment Outcome; D055815:Young Adult
keywords: Fat graft; Gap arthroplasty; Temporalis fascia flap; Temporomandibular joint ankylosis