title: Interpositional Gap Arthroplasty by Versatile Pedicled Temporalis Myofascial Flap in the Management of Temporomandibular Joint Ankylosis- A Case Series Study.
abstract: Temporomandibular Joint (TMJ) ankylosis is a situation in which the mandibular condyle is fused to the glenoid fossa by bone or fibrous tissue. The management of TMJ ankylosis has a complicated chore and it is challenging for the maxillofacial surgeon because of technical hitches and high rate of re-ankylosis. Interpositional gap arthroplasty is one of the modalities for its management. A range of inter-positional materials have been used to avert recurrence after gap arthroplasty in TMJ ankylosis. The aim of this series was to evaluate the effectiveness of the temporomyofacial flap in the treatment of TMJ ankylosis as an interpositional gap arthroplasty. A total of 10 cases with unilateral TMJ ankylosis were treated by interpositional gap arthroplasty by pedicled temporalis myofacial flap and evaluated with a follow-up of 6 months to 5 years (Mean 3.3 years) for the functional stability of TMJ. All the patients were successfully treated. There were no signs of recurrence in any patients up to last follow up visit. The result showed that temporalis myofascial flap is a preferable choice for inter-positional gap arthroplasty which proves its versatility as an inter-positional material.
authors.affiliation: Reader, Department of Oral and Maxillofacial Surgery, Maharaja Ganga Singh Dental College and Research Centre , Sriganganagar, Rajasthan, India .
authors.forename: Vikas
authors.initials: V
authors.lastname: Aneja
authors.affiliation: Junior Resident, Department of Oral and Maxillofacial Surgery, Maharaja Ganga Singh Dental College and Research Centre , Sriganganagar, Rajasthan, India .
authors.forename: Rushik
authors.initials: R
authors.lastname: Raval
authors.affiliation: Consultant Oral and Maxillofacial Surgeon, Bansal Dental Clinic and Maxillofacial Hospital , Sri Ganganagar, Rajasthan India .
authors.forename: Anupam
authors.initials: A
authors.lastname: Bansal
authors.affiliation: Junior Resident, Department of Oral and Maxillofacial Surgery, Maharaja Ganga Singh Dental College and Research Centre , Sriganganagar, Rajasthan, India .
authors.forename: Vinod
authors.initials: V
authors.lastname: Kumawat
authors.affiliation: Junior Resident, Department of Oral and Maxillofacial Surgery, Maharaja Ganga Singh Dental College and Research Centre , Sriganganagar, Rajasthan, India .
authors.forename: Jasleen
authors.initials: J
authors.lastname: Kaur
authors.affiliation: Junior Resident, Department of Oral and Maxillofacial Surgery, Maharaja Ganga Singh Dental College and Research Centre , Sriganganagar, Rajasthan, India .
authors.forename: Ahemer Arif
authors.initials: AA
authors.lastname: Shaikh
keywords: Ankylosis; Autologous graft; Fascia