MU Digital Repository
Logo

A Retrospective Study of Temporalis Muscle and Fascia Flap in Treatment of TMJ Ankylosis

Cariappa, KM (2010) A Retrospective Study of Temporalis Muscle and Fascia Flap in Treatment of TMJ Ankylosis. Journal of Maxillofacial and Oral Surgery, 9 (4). pp. 363-368.

[img] PDF
A Retrospective Study of Temporalis Muscle and Fascia Flap.pdf - Published Version
Restricted to Registered users only

Download (264kB) | Request a copy

Abstract

Background: This study sought to determine the efficacy of interpositional arthroplasty with temporalis muscle and fascia flap in the treatment of unilateral temporomandibular joint (TMJ) ankylosis in adults. Methods: This retrospective study of nine cases evaluated the postoperative results of interpositional arthroplasty on temporalis muscle and fascia flap in adults. The operative protocol for unilateral TMJ ankylosis entailed (1) resection of ankylotic mass, (2) intraoral ipsilateral coronoidectomy, (3) contralateral coronoidectomy when necessary, (4) interpositional tissue transfer to the TMJ with temporalis muscle, fascia flap, and (5) early mobilization, aggressive physiotherapy. Results: The study evaluated nine patients with follow-up checks from 13 to 31 months (mean 18.3 months). Patients had a preoperative maximal interincisal opening of 9–19 mm (mean 11.7 mm). During the last follow-up observation after surgery, the patients had a maximal interincisal opening of 35–40 mm (mean 38.3 mm).The results of this protocol were encouraging, the functional results of interpositional arthroplasty on temporalis muscle and fascia flap were also satisfactory. Conclusion The findings of this study support the use of temporalis muscle and fascia flap in adult patients with unilateral TMJ ankylosis. Early postoperative initial exercise, physiotherapy and strict follow-up play an important role in preventing postoperative recurrences.

Item Type: Article
Uncontrolled Keywords: Ankylosis; Temporalis muscle; Fascia flap; Temporomandibular joint.
Subjects: Dentistry > MCODS Manipal > Oral and Maxillofacial Surgery
Depositing User: KMC Manipal
Date Deposited: 05 Nov 2013 04:41
Last Modified: 05 Nov 2013 04:41
URI: http://eprints.manipal.edu/id/eprint/137629

Actions (login required)

View Item View Item