Güven Orhan
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Ankara University, Ankara, Turkey.
Case Rep Med. 2017;2017:9060174. doi: 10.1155/2017/9060174. Epub 2017 Oct 2.
Treatment of ankylosis is one of the greatest challenges in temporomandibular joint (TMJ) surgery. To provide a satisfactory mouth opening, as well as normal jaw function, and to prevent reankylosis in the long term are the most important principles in the treatment of TMJ ankylosis. These functions have been attained in both of the presented patients in the long term. It is known that heterotopic bone formation is rare in the maxillofacial area, but rapid bone regeneration which reconstitutes a new condyle is rarer. The purpose of the presented paper is to reveal the existence of an inherent capability of the mandible, rapid bone growth of the ramus mandible, and reformation of a previously nonexisting condyle after resection of the ramus in patients with TMJ ankylosis. In this paper, two unusual cases of unexpected condyle-like structure formation after treatment of ankylosis were presented.
关节强直的治疗是颞下颌关节(TMJ)手术中最大的挑战之一。实现满意的开口度以及正常的颌功能,并长期预防再强直,是颞下颌关节强直治疗中最重要的原则。这两位患者均长期实现了这些功能。众所周知,异位骨形成在颌面区域较为罕见,但能重建新髁突的快速骨再生则更为罕见。本文的目的是揭示在颞下颌关节强直患者中,下颌骨具有一种内在能力,即下颌升支的快速骨生长以及在升支切除后形成先前不存在的髁突。本文介绍了两例关节强直治疗后意外形成类似髁突结构的不寻常病例。