Karasu Hakan Alpay, Okcu Kemal Murat, Ortakoglu Kerim, Bayar Gurkan Rasit, Aydintug Yavuz Sinan
Department of Oral and Maxillofacial Surgery, Ankara University Faculty of Dentistry, Ankara, Turkey.
Mil Med. 2005 Feb;170(2):167-71.
Temporomandibular joint (TMJ) ankylosis is characterized by the formation of bony or fibrous mass, which replaces the normal articulation and limitation of mouth opening. This study aims to determine the efficacy of arthroplasty and interpositional fascia flap in the treatment of unilateral and bilateral TMJ ankylosis in three young adult men. Our operative protocol for unilateral and bilateral TMJ ankylosis entailed resection of ankylotic mass, intraoral ipsilateral and bilateral arthroplasty, interpositional tissue transfer to the TMJ with temporalis superficial fascia flap, maxillomandibular fixation, and early mobilization and aggressive physiotherapy. Early postoperative initial exercise, physiotherapy, and strict follow-up play an important role in preventing postoperative adhesions. The temporalis superficial facia flap is an autogenous graft that has the advantages of close proximity to the TMJ minimal surgical morbidity, and successful clinical results. It was found to be a valuable option for TMJ ankylosis reconstruction.
颞下颌关节（TMJ）强直的特征是形成骨或纤维团块，取代正常关节并限制开口。本研究旨在确定关节成形术和置入筋膜瓣治疗三名年轻成年男性单侧和双侧TMJ强直的疗效。我们针对单侧和双侧TMJ强直的手术方案包括切除强直块、同侧和双侧口内关节成形术、用颞浅筋膜瓣将置入组织转移至TMJ、颌间固定以及早期活动和积极的物理治疗。术后早期的初始运动、物理治疗和严格随访在预防术后粘连方面起着重要作用。颞浅筋膜瓣是一种自体移植物，具有靠近TMJ、手术发病率低以及临床效果良好的优点。它被发现是TMJ强直重建的一个有价值的选择。
