A conservative surgical approach to temporomandibular joint ankylosis.
The current article describes a case of a patient with temporomandibular joint (TMJ) ankylosis undergoing surgery performed with a tailored technique for condylar reshaping. A patient with posttraumatic bilateral TMJ ankylosis underwent interpositional arthroplasty with temporalis fascia, and focus was put on the need to maintain the vertical height of the mandible. The postoperative course was uneventful, and positive outcomes were kept during a 1-year follow-up span. The adoption of surgical strategies aiming at restoring a condylar shape as similar as possible to the natural one may be important in the light of the search for surgeries providing and/or recreating normal function of the TMJ.
From the *Department of Maxillofacial Surgery, TMD Clinic, Department of Maxillofacial Surgery, and †School of Dentistry, University of Padova, Italy.
Luca
L
Guarda-Nardini
Francesco
F
Cocilovo
Marco
M
Olivo
Giuseppe
G
Ferronato
Daniele
D
Manfredini
D000844:Ankylosis / Q000175:diagnosis / Q000601:surgery; D001178:Arthroplasty / Q000379:methods*; D005205:Fascia / Q000637:transplantation; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008335:Mandibular Condyle / Q000293:injuries / Q000601:surgery; D008337:Mandibular Fractures / Q000150:complications; D008875:Middle Aged; D013524:Surgical Flaps; D013704:Temporomandibular Joint / Q000601:surgery; D013705:Temporomandibular Joint Disorders / Q000175:diagnosis / Q000601:surgery*