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CC BY-NC-ND 4.0 · Journal of Health and Allied Sciences NU 2014; 04(02): 039-046
DOI: 10.1055/s-0040-1703762
Original Article

RECONSTRUCTION OF CONDYLE FOLLOWING SURGICAL CORRECTION OF TEMPOROMANDIBULAR JOINT ANKYLOSIS: CURRENT CONCEPTS AND CONSIDERATIONS FOR THE FUTURE

Muralee Mohan C.
1   Professor, Department of Oral and Maxillofacial Surgery, A.B. Shetty Memorial Institute of Dental Sciences, Nitte University, Deralakatte, Mangalore - 575 018, India
,
B. Rajendra Prasad
2   Principal and Dean, Department of Oral and Maxillofacial Surgery, A.B. Shetty Memorial Institute of Dental Sciences, Nitte University, Deralakatte, Mangalore - 575 018, India
,
Smitha Bhat
3   Senior Lecturer, Department of Oral and Maxillofacial Surgery, A.B. Shetty Memorial Institute of Dental Sciences, Nitte University, Deralakatte, Mangalore - 575 018, India
,
Shyam S. Bhat
4   Senior Lecturer, Department Of Oral and Maxillofacial Surgery, CIDS, Virajpet, Karnataka, India
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Abstract:

Temporomandibular joint (TMJ) ankylosis is one of the most disruptive maladies that can afflict the masticatory system. It is characterized by difficulty or inability to open the mouth due to fusion of the temporal bone and the condyle of the mandible, resulting in facial symmetry/deformity, malocclusion and dental problems. The only treatment option for TMJ ankylosis is surgical with or without condylar reconstruction. Various autogenous grafts are available for condylar reconstruction after freeing the ankylotic mass such as costochondral, fibular, and coronoid. Alloplastic temporomandibular joint (TMJ) prostheses can provide accurate adaptation to the anatomical structures of each individual patient and are a reliable alternative in the treatment of ankylosis. Proving to be a promising method distraction osteogenesis is slowly gaining popularity and may ultimately become the standard procedure, providing a cost-effective approach with low morbidity and excellent functional outcomes. Tissue engineering is another budding field which has shown promising results in animal studies but has not been applied to humans.

Keywords:

Temporomandibular joint - Ankylosis - Distraction Osteogenesis


Publication History

Article published online:
24 April 2020

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