title: Management of temporomandibular joint reankylosis in syndromic patients corrected with joint prostheses: surgical and rehabilitation protocols.
abstract: Temporomandibular joint ankylosis (TMJA) is a severe disorder described as an intracapsular union of the disc-condyle complex to the temporal articular surface with bony fusion. The management of this disability is challenging and rarely based on surgical and rehabilitation protocols. We describe the treatment in two young adults affected by Goldenhar syndrome and Pierre Robin sequence with reankylosis after previous surgical treatments. There are three main surgical procedures for the treatment of TMJA: gap arthroplasty, interpositional arthroplasty, and joint reconstruction. Various authors have described reankylosis as a frequent event after treatment. Treatment failure could be associated with surgical errors and/or inadequate intensive postoperative physiotherapy. Surgical treatment should be individually tailored and adequate postoperative physiotherapy protocol is mandatory for success.
authors.affiliation: Unit of Cranio Maxillo Facial Surgery, Center for Craniofacial Deformities and Orbital Surgery, Ferrara, Italy.
authors.forename: Luigi C
authors.initials: LC
authors.lastname: Clauser
authors.affiliation: Unit of Cranio Maxillo Facial Surgery, Center for Craniofacial Deformities and Orbital Surgery, Ferrara, Italy.
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Consorti
authors.affiliation: Unit of Cranio Maxillo Facial Surgery, Center for Craniofacial Deformities and Orbital Surgery, Ferrara, Italy.
authors.forename: Giovanni
authors.initials: G
authors.lastname: Elia
authors.affiliation: Unit of Cranio Maxillo Facial Surgery, Center for Craniofacial Deformities and Orbital Surgery, Ferrara, Italy.
authors.forename: Riccardo
authors.initials: R
authors.lastname: Tieghi
authors.affiliation: Unit of Cranio Maxillo Facial Surgery, Center for Craniofacial Deformities and Orbital Surgery, Ferrara, Italy.
authors.forename: Manlio
authors.initials: M
authors.lastname: Galiè
keywords: Goldenhar syndrome; Pierre Robin sequence; ankylosis recurrence; craniofacial malformation; rehabilitative physiotherapy; temporomandibular joint ankylosis