Maxillofacial Plastic and Reconstructive Surgery
- 제23권1호
- /
- Pages.95-102
- /
- 2001
- /
- 2288-8101(pISSN)
- /
- 2288-8586(eISSN)
악관절 강직증의 치험례
THE CASES REPORT OF ANKYLOSIS
- 현영옥 (왈레스 기념 침례병원 치과 구강악안면외과, 인제의대 백병원치과 구강악안면외과) ;
- 강창희 (왈레스 기념 침례병원 치과 구강악안면외과, 인제의대 백병원치과 구강악안면외과) ;
- 노양호 (왈레스 기념 침례병원 치과 구강악안면외과, 인제의대 백병원치과 구강악안면외과) ;
- 천영두 (왈레스 기념 침례병원 치과 구강악안면외과, 인제의대 백병원치과 구강악안면외과) ;
- 김신헌 (왈레스 기념 침례병원 치과 구강악안면외과, 인제의대 백병원치과 구강악안면외과) ;
- 이희원 (왈레스 기념 침례병원 치과 구강악안면외과, 인제의대 백병원치과 구강악안면외과)
- Hyun, Young-Ok (Department of Oral and Maxillofacial Surgery, Wallace Memorial Baptist Hospital, Department of Oral and Maxillofacial Surgery, Back Hospital Inje University) ;
- Kang, Chang-Hee (Department of Oral and Maxillofacial Surgery, Wallace Memorial Baptist Hospital, Department of Oral and Maxillofacial Surgery, Back Hospital Inje University) ;
- Noh, Yang-Ho (Department of Oral and Maxillofacial Surgery, Wallace Memorial Baptist Hospital, Department of Oral and Maxillofacial Surgery, Back Hospital Inje University) ;
- Chun, Young-Doo (Department of Oral and Maxillofacial Surgery, Wallace Memorial Baptist Hospital, Department of Oral and Maxillofacial Surgery, Back Hospital Inje University) ;
- Kim, Shin-Hun (Department of Oral and Maxillofacial Surgery, Wallace Memorial Baptist Hospital, Department of Oral and Maxillofacial Surgery, Back Hospital Inje University) ;
- Lee, Hee-Won (Department of Oral and Maxillofacial Surgery, Wallace Memorial Baptist Hospital, Department of Oral and Maxillofacial Surgery, Back Hospital Inje University)
- Published : 2001.02.28
Abstract
Temporomandibular ankylosis is defined as a situation in which the condyle is fused to the fossa by bone or fibrous tissue. Conditons such as trauma, infection, or systemic disease may predispose to various types of ankylosis, bringing about different levels of limitation in mandibular movement. Most patients with temporomandibular ankylosis are associated with limitation of maximal mouth opening, deviation of the chin toward the affected side, impaired occlusion, chronic pain, compromised oral hygiene, severe facial asymmetry & impeded mandibular molar eruption occurring in childhood. Several techniques to release ankylosis have been described in the literature, showing variable and often unsatisfactory results. The most frequently used operations are gap arthroplasty, interpositional arthroplasty, and exicision and joint reconstruction with autogenous or alloplastic materials. We have managed the two patients of TMJ ankylosis. They had previously TMJ surgery and we treated with gap arthroplasty & active physial therapy. We have obtained favorable results and report these cases with literatures review.