Çakarer Sirmahan, Isler Sabri Cemil, Yalcin Basak Keskin, Diracoglu Demirhan, Uzun Aysenur, Sitilci Tolga
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Istanbul University, Istanbul, Turkey.
Department of Physical Medicine and Rehabilitation, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Ann Maxillofac Surg. 2018 Jan-Jun;8(1):162-165. doi: 10.4103/ams.ams_179_17.
Temporomandibular joint (TMJ) ankylosis is fusion or a bony union of the head of the condyle and the glenoid fossa by bony or fibrotic tissues. Due to the immobility of the TMJ, all mandibular movements get affected. Treatment goals are to allow nearly normal TMJ movements, restore symmetry of the face and occlusion, and promote growth and correction of deformity in children. The surgical techniques used to treat TMJ ankylosis are a gap or interpositional arthroplasty, joint reconstruction, and distraction osteogenesis. Appropriate interposition materials include autogenous tissues, allogeneic tissues, and alloplastic and xenograft tissues. This report presents the treatment of a patient with a diagnosis of TMJ ankylosis, who had failed surgery. Interpositional autogenous dermis-fat graft was used to manage TMJ ankylosis of the right side. The technique is discussed within the current literature.
颞下颌关节（TMJ）强直是指髁突头部与关节窝通过骨组织或纤维组织发生融合或骨性连接。由于颞下颌关节无法活动，所有下颌运动都会受到影响。治疗目标是使颞下颌关节运动接近正常，恢复面部对称性和咬合关系，并促进儿童生长及矫正畸形。用于治疗颞下颌关节强直的手术技术包括间隙或植入性关节成形术、关节重建和牵张成骨术。合适的植入材料包括自体组织、同种异体组织、人工合成组织和异种移植组织。本报告介绍了一名诊断为颞下颌关节强直且手术失败患者的治疗情况。采用植入自体真皮脂肪移植术治疗右侧颞下颌关节强直。本文结合当前文献对该技术进行了讨论。
