Total Alloplastic Temporomandibular Joint Reconstruction for Management of TMJ Ankylosis
Introduction Temporomandibular joint (TMJ) ankylosis involves the fusion of the mandibular condyle to the glenoid fossa, the skull base. The dilemma with regards to treatment planning whether distraction is done before gap arthroplasty or as a simultaneous procedure or after gap arthroplasty is stil...
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Veröffentlicht in: | Journal of maxillofacial and oral surgery 2014-12, Vol.13 (4), p.575-582 |
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description | Introduction
Temporomandibular joint (TMJ) ankylosis involves the fusion of the mandibular condyle to the glenoid fossa, the skull base. The dilemma with regards to treatment planning whether distraction is done before gap arthroplasty or as a simultaneous procedure or after gap arthroplasty is still a controversy. In an attempt to carry out both the procedures simultaneously there is loss of vector control of the distal segment and the risk of pseudoarthrosis at the osteotomy site. This combined problem could be overcome by the use of total alloplastic joint prosthesis which offers a firm posterior stop for the proximal segment and negates aggressive physiotherapy.
Material and methods
The reference literatures were retrieved from Pub Med and Science Direct database. Three case reports of bilateral recurrent TMJ ankylosis successfully treated with custom made total TMJ by the authors are illustrated.
Conclusion
The purpose of this article is to review the world literature on various alloplastic joints available for TMJ reconstruction and to introduce our indigenous total joint prosthesis in the management of recurrent ankylosis. |
doi_str_mv | 10.1007/s12663-013-0565-9 |
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Temporomandibular joint (TMJ) ankylosis involves the fusion of the mandibular condyle to the glenoid fossa, the skull base. The dilemma with regards to treatment planning whether distraction is done before gap arthroplasty or as a simultaneous procedure or after gap arthroplasty is still a controversy. In an attempt to carry out both the procedures simultaneously there is loss of vector control of the distal segment and the risk of pseudoarthrosis at the osteotomy site. This combined problem could be overcome by the use of total alloplastic joint prosthesis which offers a firm posterior stop for the proximal segment and negates aggressive physiotherapy.
Material and methods
The reference literatures were retrieved from Pub Med and Science Direct database. Three case reports of bilateral recurrent TMJ ankylosis successfully treated with custom made total TMJ by the authors are illustrated.
Conclusion
The purpose of this article is to review the world literature on various alloplastic joints available for TMJ reconstruction and to introduce our indigenous total joint prosthesis in the management of recurrent ankylosis.</description><identifier>ISSN: 0972-8279</identifier><identifier>EISSN: 0974-942X</identifier><identifier>DOI: 10.1007/s12663-013-0565-9</identifier><identifier>PMID: 26225031</identifier><language>eng</language><publisher>India: Springer India</publisher><subject>Clinical Paper ; Dentistry ; FDA approval ; Joint replacement surgery ; Medical equipment ; Medicine ; Medicine & Public Health ; Molecular weight ; Mouth ; Oral and Maxillofacial Surgery ; Orthopedics ; Otorhinolaryngology ; Patients ; Plastic Surgery ; Polyethylene ; Prostheses ; Stainless steel ; Titanium alloys ; Trauma</subject><ispartof>Journal of maxillofacial and oral surgery, 2014-12, Vol.13 (4), p.575-582</ispartof><rights>Association of Oral and Maxillofacial Surgeons of India 2013</rights><rights>Association of Oral and Maxillofacial Surgeons of India 2013.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c470t-c136a24bef003b32c480a90bdd9d295afd69c1cf2c0265f51d8170939818c1263</citedby><cites>FETCH-LOGICAL-c470t-c136a24bef003b32c480a90bdd9d295afd69c1cf2c0265f51d8170939818c1263</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4518806/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2919731539?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,21388,21389,27924,27925,33530,33531,33744,33745,41488,42557,43659,43805,51319,53791,53793,64385,64387,64389,72469</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26225031$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Neelakandan, R. S.</creatorcontrib><creatorcontrib>Raja, A. V. Dharmesh Kumar</creatorcontrib><creatorcontrib>Krishnan, Arun M.</creatorcontrib><title>Total Alloplastic Temporomandibular Joint Reconstruction for Management of TMJ Ankylosis</title><title>Journal of maxillofacial and oral surgery</title><addtitle>J. Maxillofac. Oral Surg</addtitle><addtitle>J Maxillofac Oral Surg</addtitle><description>Introduction
Temporomandibular joint (TMJ) ankylosis involves the fusion of the mandibular condyle to the glenoid fossa, the skull base. The dilemma with regards to treatment planning whether distraction is done before gap arthroplasty or as a simultaneous procedure or after gap arthroplasty is still a controversy. In an attempt to carry out both the procedures simultaneously there is loss of vector control of the distal segment and the risk of pseudoarthrosis at the osteotomy site. This combined problem could be overcome by the use of total alloplastic joint prosthesis which offers a firm posterior stop for the proximal segment and negates aggressive physiotherapy.
Material and methods
The reference literatures were retrieved from Pub Med and Science Direct database. Three case reports of bilateral recurrent TMJ ankylosis successfully treated with custom made total TMJ by the authors are illustrated.
Conclusion
The purpose of this article is to review the world literature on various alloplastic joints available for TMJ reconstruction and to introduce our indigenous total joint prosthesis in the management of recurrent ankylosis.</description><subject>Clinical Paper</subject><subject>Dentistry</subject><subject>FDA approval</subject><subject>Joint replacement surgery</subject><subject>Medical equipment</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Molecular weight</subject><subject>Mouth</subject><subject>Oral and Maxillofacial Surgery</subject><subject>Orthopedics</subject><subject>Otorhinolaryngology</subject><subject>Patients</subject><subject>Plastic Surgery</subject><subject>Polyethylene</subject><subject>Prostheses</subject><subject>Stainless steel</subject><subject>Titanium alloys</subject><subject>Trauma</subject><issn>0972-8279</issn><issn>0974-942X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1UctKxDAUDaKojPMBbqTgxk01jzZNNsIgPlEEGcFdSNN0jKbJmLSCf2_G0fEBBkJuOOee-zgA7CJ4iCCsjiLClJIconRLWuZ8DWxDXhU5L_DD-keMc4YrvgXGMT7BdAginKBNsIUpxmX6boOHqe-lzSbW-rmVsTcqm-pu7oPvpGtMPVgZsitvXJ_daeVd7MOgeuNd1vqQ3UgnZ7rTCfVtNr25yibu-c36aOIO2GiljXr8-Y7A_dnp9OQiv749vzyZXOeqqGCfK0SoxEWt29ReTbAqGJQc1k3DG8xL2TaUK6RarCCmZVuihqEKcsIZYiptgIzA8VJ3PtSdblTqJUgr5sF0MrwJL434jTjzKGb-VRQlYgwuBA4-BYJ_GXTsRWei0tZKp_0QRSoHKaMEs0Td_0N98kNwaTyBOeIVQWVa8AigJUsFH2PQ7aoZBMXCOrG0TiTrxMI6scjZ-znFKuPLqETAS0JMkJvp8F36f9V3ahqkiw</recordid><startdate>20141201</startdate><enddate>20141201</enddate><creator>Neelakandan, R. S.</creator><creator>Raja, A. V. Dharmesh Kumar</creator><creator>Krishnan, Arun M.</creator><general>Springer India</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20141201</creationdate><title>Total Alloplastic Temporomandibular Joint Reconstruction for Management of TMJ Ankylosis</title><author>Neelakandan, R. S. ; Raja, A. V. Dharmesh Kumar ; Krishnan, Arun M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c470t-c136a24bef003b32c480a90bdd9d295afd69c1cf2c0265f51d8170939818c1263</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Clinical Paper</topic><topic>Dentistry</topic><topic>FDA approval</topic><topic>Joint replacement surgery</topic><topic>Medical equipment</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Molecular weight</topic><topic>Mouth</topic><topic>Oral and Maxillofacial Surgery</topic><topic>Orthopedics</topic><topic>Otorhinolaryngology</topic><topic>Patients</topic><topic>Plastic Surgery</topic><topic>Polyethylene</topic><topic>Prostheses</topic><topic>Stainless steel</topic><topic>Titanium alloys</topic><topic>Trauma</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Neelakandan, R. 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Dharmesh Kumar</creatorcontrib><creatorcontrib>Krishnan, Arun M.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of maxillofacial and oral surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Neelakandan, R. S.</au><au>Raja, A. V. Dharmesh Kumar</au><au>Krishnan, Arun M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Total Alloplastic Temporomandibular Joint Reconstruction for Management of TMJ Ankylosis</atitle><jtitle>Journal of maxillofacial and oral surgery</jtitle><stitle>J. Maxillofac. Oral Surg</stitle><addtitle>J Maxillofac Oral Surg</addtitle><date>2014-12-01</date><risdate>2014</risdate><volume>13</volume><issue>4</issue><spage>575</spage><epage>582</epage><pages>575-582</pages><issn>0972-8279</issn><eissn>0974-942X</eissn><abstract>Introduction
Temporomandibular joint (TMJ) ankylosis involves the fusion of the mandibular condyle to the glenoid fossa, the skull base. The dilemma with regards to treatment planning whether distraction is done before gap arthroplasty or as a simultaneous procedure or after gap arthroplasty is still a controversy. In an attempt to carry out both the procedures simultaneously there is loss of vector control of the distal segment and the risk of pseudoarthrosis at the osteotomy site. This combined problem could be overcome by the use of total alloplastic joint prosthesis which offers a firm posterior stop for the proximal segment and negates aggressive physiotherapy.
Material and methods
The reference literatures were retrieved from Pub Med and Science Direct database. Three case reports of bilateral recurrent TMJ ankylosis successfully treated with custom made total TMJ by the authors are illustrated.
Conclusion
The purpose of this article is to review the world literature on various alloplastic joints available for TMJ reconstruction and to introduce our indigenous total joint prosthesis in the management of recurrent ankylosis.</abstract><cop>India</cop><pub>Springer India</pub><pmid>26225031</pmid><doi>10.1007/s12663-013-0565-9</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Clinical Paper Dentistry FDA approval Joint replacement surgery Medical equipment Medicine Medicine & Public Health Molecular weight Mouth Oral and Maxillofacial Surgery Orthopedics Otorhinolaryngology Patients Plastic Surgery Polyethylene Prostheses Stainless steel Titanium alloys Trauma |
title | Total Alloplastic Temporomandibular Joint Reconstruction for Management of TMJ Ankylosis |
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