Interpositional Gap Arthroplasty by Versatile Pedicled Temporalis Myofascial Flap in the Management of Temporomandibular Joint Ankylosis- A Case Series Study
Published: October 1, 2016 | DOI: https://doi.org/10.7860/JCDR/2016/20157.8741
Vikas Aneja, Rushik Raval, Anupam Bansal, Vinod Kumawat, Jasleen Kaur, Ahemer Arif Shaikh
1. Reader, Department of Oral and Maxillofacial Surgery, Maharaja Ganga Singh Dental College and Research Centre, Sriganganagar, Rajasthan, India.
2. Junior Resident, Department of Oral and Maxillofacial Surgery, Maharaja Ganga Singh Dental College and Research Centre, Sriganganagar, Rajasthan, India.
3. Consultant Oral and Maxillofacial Surgeon, Bansal Dental Clinic and Maxillofacial Hospital, Sri Ganganagar, Rajasthan India.
4. Junior Resident, Department of Oral and Maxillofacial Surgery, Maharaja Ganga Singh Dental College and Research Centre, Sriganganagar, Rajasthan, India.
5. Junior Resident, Department of Oral and Maxillofacial Surgery, Maharaja Ganga Singh Dental College and Research Centre, Sriganganagar, Rajasthan, India.
6. Junior Resident, Department of Oral and Maxillofacial Surgery, Maharaja Ganga Singh Dental College and Research Centre, Sriganganagar, Rajasthan, India.
Correspondence Address :
Dr. Rushik Raval,
301, Motherhouse Apartments, Kansarwad, Navsari-396445, Gujarat, India.
E-mail: rushik_88@yahoo.co.in
Abstract
Temporomandibular Joint (TMJ) ankylosis is a situation in which the mandibular condyle is fused to the glenoid fossa by bone or fibrous tissue. The management of TMJ ankylosis has a complicated chore and it is challenging for the maxillofacial surgeon because of technical hitches and high rate of re-ankylosis. Interpositional gap arthroplasty is one of the modalities for its management. A range of inter-positional materials have been used to avert recurrence after gap arthroplasty in TMJ ankylosis. The aim of this series was to evaluate the effectiveness of the temporomyofacial flap in the treatment of TMJ ankylosis as an interpositional gap arthroplasty. A total of 10 cases with unilateral TMJ ankylosis were treated by interpositional gap arthroplasty by pedicled temporalis myofacial flap and evaluated with a follow-up of 6 months to 5 years (Mean 3.3 years) for the functional stability of TMJ. All the patients were successfully treated. There were no signs of recurrence in any patients up to last follow up visit. The result showed that temporalis myofascial flap is a preferable choice for inter-positional gap arthroplasty which proves its versatility as an inter-positional material.
Keywords
Ankylosis, Autologous graft, Fascia