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CC BY-NC 4.0 · Arch Plast Surg 2015; 42(06): 716-720
DOI: 10.5999/aps.2015.42.6.716
Original Article

Modified T-Plate Interpositional Arthroplasty for Temporomandibular Joint Ankylosis: A New and Versatile Option

Imran Ahmad
Department of Plastic and Reconstructive Surgery, Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh, India
,
Mohd Altaf Mir
Department of Plastic and Reconstructive Surgery, Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh, India
,
Lalit Mohan Bariar
Department of Plastic and Reconstructive Surgery, Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh, India
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Background This study has been conducted with the aim of evaluating modified T-plate interpositional arthroplasty.

Methods A prospective comparative study in patients admitted with temporomandibular joint ankylosis. Ankylotic temporomandibular joint arthroplasty included condylectomy gap arthroplasty in 7, temporalis muscle flap interpositional arthroplasty in 8, and modified T-plate interpositional arthroplasty in 13 cases. The patients were followed for three years. Collected data were tabulated and subjected to Fisher's exact test, chi-square test and probability estimation.

Results A significant increase in interincisal distance of 32 mm was seen in 12 (92.31%) patients in the T-plate interposition group, in 2 (25%) cases of the temporalis muscle flap interposition group, and in 1 case (14.28%) of the condylectomy group at 12, 24, and 36 months. Re-ankylosis was observed in 1 case (9.69%) of the T-plate interposition group, while as it was observed in 4 (50%) cases in the temporalis muscle flap interposition group and 4 (57.14%) cases in the condylectomy group, and these differences were statistically significant.

Conclusions Our clinical experience with the use of the T-plate over the past 5 years has been encouraging, and our physiotherapy technique is quite simple. Even illiterate parents can assess it easily. Hence, we recommend this easy technique that does not damage the temporalis muscle for the management of temporomandibular joint ankylosis.

Keywords

Temporomandibular joint - Arthroplasty - Ankylosis


Publication History

Received: 12 March 2015

Accepted: 04 June 2015

Article published online:
05 May 2022

© 2015. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonCommercial License, permitting unrestricted noncommercial use, distribution, and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes. (https://creativecommons.org/licenses/by-nc/4.0/)

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  • References

  • 1 He D, Yang C, Chen M. et al. Effects of soft tissue injury to the temporomandibular joint: report of 8 cases. Br J Oral Maxillofac Surg 2013; 51: 58-62
    CrossrefPubMedGoogle Scholar
  • 2 Toyama M, Kurita K, Koga K. et al. Ankylosis of the temporomandibular joint developing shortly after multiple facial fractures. Int J Oral Maxillofac Surg 2003; 32: 360-362
    CrossrefPubMedGoogle Scholar
  • 3 Khan Z. Management of temporomandibular joint ankylosis: literature review. Pakistan Oral Dent Jr 2005; 25: 151-155
    Google Scholar
  • 4 Tanrikulu R, Erol B, Gorgun B. et al. The contribution to success of various methods of treatment of temporomandibular joint ankylosis (a statistical study containing 24 cases). Turk J Pediatr 2005; 47: 261-265
    PubMedGoogle Scholar
  • 5 Akhtar MU, Abbas I, Ali Shah A. Use of silastic as interpositional material in the management of unilateral temporomandibular joint ankylosis. J Ayub Med Coll Abbottabad 2006; 18: 73-76
    PubMedGoogle Scholar
  • 6 Su-Gwan K. Treatment of temporomandibular joint ankylosis with temporalis muscle and fascia flap. Int J Oral Maxillofac Surg 2001; 30: 189-193
    CrossrefPubMedGoogle Scholar
  • 7 Karaca C, Barutcu A, Baytekin C. et al. Modifications of the inverted T-shaped silicone implant for treatment of temporomandibular joint ankylosis. J Craniomaxillofac Surg 2004; 32: 243-246
    CrossrefPubMedGoogle Scholar
  • 8 Abbas I, Jamil M, Jehanzeb M. et al. Temporomandibular joint ankylosis: experience with interpositional gap arthroplasty at Ayub Medical College Abbottabad. J Ayub Med Coll Abbottabad 2005; 17: 67-69
    PubMedGoogle Scholar
  • 9 Guven O. Treatment of temporomandibular joint ankylosis by a modified fossa prosthesis. J Craniomaxillofac Surg 2004; 32: 236-242
    CrossrefPubMedGoogle Scholar
  • 10 Erdem E, Alkan A. The use of acrylic marbles for interposition arthroplasty in the treatment of temporomandibular joint ankylosis: follow-up of 47 cases. Int J Oral Maxillofac Surg 2001; 30: 32-36
    CrossrefPubMedGoogle Scholar
  • 11 Pitta MC, Wolford LM. Use of acrylic spheres as spacers in staged temporomandibular joint surgery. J Oral Maxillofac Surg 2001; 59: 704-706
    CrossrefPubMedGoogle Scholar
  • 12 Mercuri LG, Edibam NR, Giobbie-Hurder A. Fourteen-year follow-up of a patient-fitted total temporomandibular joint reconstruction system. J Oral Maxillofac Surg 2007; 65: 1140-1148
    CrossrefPubMedGoogle Scholar