Maxillofacial Plastic and Reconstructive Surgery

  • 제38권
  • /
  • Pages.12.1-12.6
  • /
  • 2016
  • /
  • 2288-8101(pISSN)
  • /
  • 2288-8586(eISSN)
대한악안면성형재건외과학회 (Korean Association of Maxillofacial Plastic and Reconstructive Surgeons)
권호 표지
DOI QR코드

DOI QR Code

Simultaneous gap arthroplasty and intraoral distraction and secondary contouring surgery for unilateral temporomandibular joint ankylosis

  • Sharma, Aditi (Department of Oral and Maxillofacial Surgery, School of Dentistry, Kyungpook National University) ;
  • Paeng, Jun-Young (Department of Oral and Maxillofacial Surgery, School of Dentistry, Kyungpook National University) ;
  • Yamada, Tomohiro (Division of Maxillofacial Diagnostic and Surgical Sciences, Department of Dental Science, Faculty of Dental Science, Kyushu University) ;
  • Kwon, Tae-Geon (Department of Oral and Maxillofacial Surgery, School of Dentistry, Kyungpook National University)
  • 투고 : 2016.02.10
  • 심사 : 2016.02.24
  • 발행 : 2016.12.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Background: Temporomandibular joint (TMJ) ankylosis can be accompanied by various degrees of functional and esthetic problems. Adequate mouth opening, occlusal stability, and harmonious facial form are the main goals of treatment for ankylosis. Distraction osteogenesis has proven to be an excellent treatment for lengthening the ramus-condyle unit. However, various timings for distraction have been suggested, and there is no consensus on selection criteria for performing the procedure in stages or simultaneously with other treatments. Case presentation: In this case report, concomitant intraoral distraction and gap arthroplasty was planned to treat TMJ ankylosis and associated facial asymmetry. After gap arthroplasty and 23 mm of distraction, the ramus-condyle segment was successfully lengthened and mouth opening range was significantly increased. The resultant interocclusal space was stably maintained with an occlusal splint for 4 months after distraction. Finally, good occlusion was achieved after prosthetic treatment. The remaining mandibular asymmetry was corrected with osseous contouring and augmentation surgery. The mouth-opening range was maintained at 35 mm 24 months after treatment. Conclusion: Gap arthroplasty with intraoral distraction as a one-stage treatment and subsequent contouring surgery can be applied to correct ankylosis with moderate malocclusion and facial asymmetry.

키워드

참고문헌

  1. Kaban LB, Bouchard C, Troulis MJ (2009) A protocol for management of temporomandibular joint ankylosis in children. J Oral Maxillofac Surg 67:1966-1978 https://doi.org/10.1016/j.joms.2009.03.071
  2. Katsnelson A, Markiewicz MR, Keith DA, Dodson TB (2012) Operative management of temporomandibular joint ankylosis: a systematic review and meta-analysis. J Oral Maxillofac Surg 70:531-536 https://doi.org/10.1016/j.joms.2011.10.003
  3. Loveless TP, Bjornland T, Dodson TB, Keith DA (2010) Efficacy of temporomandibular joint ankylosis surgical treatment. J Oral Maxillofac Surg 68:1276-1282 https://doi.org/10.1016/j.joms.2009.10.014
  4. Feiyun P, Wei L, Jun C, Xin X, Zhuojin S, Fengguo Y (2010) Simultaneous correction of bilateral temporomandibular joint ankylosis with mandibular micrognathia using internal distraction osteogenesis and 3-dimensional craniomaxillofacial models. J Oral Maxillofac Surg 68:571-577 https://doi.org/10.1016/j.joms.2009.07.022
  5. Schwartz HC, Relle RJ (2008) Distraction osteogenesis for temporomandibular joint reconstruction. J Oral Maxillofac Surg 66:718-723 https://doi.org/10.1016/j.joms.2007.11.016
  6. Bansal V, Singh S, Garg N, Dubey P (2014) Transport distraction osteogenesis as a method of reconstruction of the temporomandibular joint following gap arthroplasty for post-traumatic ankylosis in children: a clinical and radiological prospective assessment of outcome. Int J Oral Maxillofac Surg 43:227-236 https://doi.org/10.1016/j.ijom.2013.07.745
  7. Hegab AF (2015) Outcome of surgical protocol for treatment of temporomandibular joint ankylosis based on the pathogenesis of ankylosis and re-ankylosis. A prospective clinical study of 14 patients. J Oral Maxillofac Surg 73:2300-11 https://doi.org/10.1016/j.joms.2015.06.155
  8. Lopez EN, Dogliotti PL (2004) Treatment of temporomandibular joint ankylosis in children: is it necessary to perform mandibular distraction simultaneously? J Craniofac Surg 15:879-884, discussion 884-875 https://doi.org/10.1097/00001665-200409000-00037
  9. Kwon TG, Park HS, Kim JB, Shin HI (2006) Staged surgical treatment for temporomandibular joint ankylosis: intraoral distraction after temporalis muscle flap reconstruction. J Oral Maxillofac Surg 64:1680-1683 https://doi.org/10.1016/j.joms.2006.03.029
  10. Sadakah AA, Elgazzar RF, Abdelhady AI (2006) Intraoral distraction osteogenesis for the correction of facial deformities following temporomandibular joint ankylosis: a modified technique. Int J Oral Maxillofac Surg 35:399-406 https://doi.org/10.1016/j.ijom.2006.01.013
  11. Shang H, Xue Y, Liu Y, Zhao J, He L (2012) Modified internal mandibular distraction osteogenesis in the treatment of micrognathia secondary to temporomandibular joint ankylosis: 4-year follow-up of a case. J Craniomaxillofac Surg 40:373-378 https://doi.org/10.1016/j.jcms.2011.06.001
  12. Dean A, Alamillos F (1999) Mandibular distraction in temporomandibular joint ankylosis. Plast Reconstr Surg 104:2021-2031 https://doi.org/10.1097/00006534-199912000-00012
  13. Papageorge MB, Apostolidis C (1999) Simultaneous mandibular distraction and arthroplasty in a patient with temporomandibular joint ankylosis and mandibular hypoplasia. J Oral Maxillofac Surg 57:328-333 https://doi.org/10.1016/S0278-2391(99)90683-3
  14. Yu H, Shen G, Zhang S, Wang X (2009) Gap arthroplasty combined with distraction osteogenesis in the treatment of unilateral ankylosis of the temporomandibular joint and micrognathia. Br J Oral Maxillofac Surg 47:200-204 https://doi.org/10.1016/j.bjoms.2008.08.003
  15. Cascone P, Agrillo A, Spuntarelli G, Arangio P, Iannetti G (2002) Combined surgical therapy of temporomandibular joint ankylosis and secondary deformity using intraoral distraction. J Craniofac Surg 13:401-409, discussion 410 https://doi.org/10.1097/00001665-200205000-00008
  16. Zhu S, Wang D, Yin Q, Hu J (2013) Treatment guidelines for temporomandibular joint ankylosis with secondary dentofacial deformities in adults. J Craniomaxillofac Surg 41:e117-127 https://doi.org/10.1016/j.jcms.2012.11.038
  17. Xu J, Long X, Cheng AH, Cai H, Deng M, Meng Q (2015) Modified condylar distraction osteogenesis via single preauricular incision for treatment of temporomandibular joint ankylosis. J Craniofac Surg 26:509-511 https://doi.org/10.1097/SCS.0000000000001291
  18. Sawhney CP (1986) Bony ankylosis of the temporomandibular joint: followup of 70 patients treated with arthroplasty and acrylic spacer interposition. Plast Reconstr Surg 77:29-40 https://doi.org/10.1097/00006534-198601000-00006
  19. Yoon HJ, Kim HG (2002) Intraoral mandibular distraction osteogenesis in facial asymmetry patients with unilateral temporomandibular joint bony ankylosis. Int J Oral Maxillofac Surg 31:544-548 https://doi.org/10.1054/ijom.2002.0297

피인용 문헌

  1. Multidisciplinary management of temporomandibular joint ankylosis in an adult: journey from arthroplasty to oral rehabilitation vol.14, pp.9, 2016, https://doi.org/10.1136/bcr-2021-245120