Functional restoration of TMJ ankylosis using temporalis muscle flap with post-operative physiotherapy
Review of five cases
Keywords:
active Physiotherapy, Heister Jaw Opener, Interpositional arthroplasty, Maximum mouth opening (MMO), Scissor Exercises, TMJ ankylosis, TMJ reankylosis, Temporalis muscle flapAbstract
Temporomandibular joint ankylosis is a highly distressing condition which involves the fusion of mandibular condyle with the base of skull causing dysphonia, dysphagia, facial deformity, impairment of upper airway and psychological stress. Because of the complex anatomy of the TMJ region, it becomes a challenging task for the surgeons to resect and restore the normal function of TMJ. Several treatment modalities have been tried to treat the ankylosis to restore the normal joint function, such as gap arthroplasty, interpositional arthroplasty, and reconstruction of TMJ, among this interpositional arthroplasty with temporalis muscle flap is most commonly used as it prevents the reankylosis. We report a series of five cases of TMJ ankylosis which has treated with resection of ankylotic mass with Interpositional arthroplasty using temporalis muscle flap.
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