RECONSTRUCTION OF CONDYLE FOLLOWING SURGICAL CORRECTION OF TEMPOROMANDIBULAR JOINT ANKYLOSIS: CURRENT CONCEPTS AND CONSIDERATIONS FOR THE FUTURE
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.
24 April 2020 (online)
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