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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Treatment modalities of TMJ ankylosis: experience in Delta Nile, Egypt
International Journal of Oral and Maxillofacial Surgery, Volume 39, No. 4, Year 2010
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Description
The study reports the authors' experience in managing TMJ ankylosis in Delta Nile, Egypt (1995-2006) and compares the surgical modalities used. 101 patients (109 joints) were reviewed in this retrospective study. Pre- and postoperative assessment included history, radiological and physical examination, and mouth opening. Age, sex, aetiology, joint(s) affected, surgical modality, complications and follow up periods were evaluated. Various types (fibrous, fibro-osseous and bony) of TMJ ankylosis were diagnosed; trauma was the commonest aetiology. The patients' age range was 2-41 years, 62% were female, and the follow up period ranged from 14 to 96 months. Average mouth opening was significantly increased from 5.3 mm pre-operatively to 32.9 mm 12 months postoperatively (P = 0.0001). Marked improvement in mouth opening was documented when the ramus-joint complex was reconstructed using distraction osteogenesis (34.7 mm), costochondral graft (34.4 mm) and Surgibone (34.6 mm). Gap arthroplasty showed least satisfactory mouth opening compared with other techniques (P = 0.001). Minor and major complications were encountered in 33% of cases, including 5% recurrence rate. Early release of TMJ ankylosis; reconstruction of the ramus height with distraction osteogenesis or bone grafting combined with interpositional arthroplasty, followed by vigorous physiotherapy is successful for managing TMJ ankylosis. © 2010 International Association of Oral and Maxillofacial Surgeons.
Authors & Co-Authors
El-Gazzar, Reda Fouad
Canada, Winnipeg
University of Manitoba
Egypt, Tanta
Faculty of Dentistry
Abdelhady, Ayman I.
Egypt, Tanta
Faculty of Dentistry
Saudi Arabia, Al-ahsa
King Faisal University
Saad, Khaled Abd El Hamid
Egypt, Tanta
Faculty of Dentistry
Elshaal, M. A.
Egypt, Tanta
Faculty of Dentistry
Saudi Arabia, Riyadh
College of Dentistry
Hussain, M. M.
Egypt, Tanta
Faculty of Dentistry
Abdelal, S. E.
Egypt, Tanta
Faculty of Dentistry
Sadakah, Abdelfattah A.
Egypt, Tanta
Faculty of Dentistry
Statistics
Citations: 115
Authors: 7
Affiliations: 4
Identifiers
Doi:
10.1016/j.ijom.2010.01.005
ISSN:
09015027
Research Areas
Health System And Policy
Study Design
Cohort Study
Study Locations
Egypt
Participants Gender
Female