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MINERVA STOMATOLOGICA

A Journal on Dentistry and Maxillofacial Surgery


Official Journal of the Italian Society of Odontostomatology and Maxillofacial Surgery
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Minerva Stomatologica 2007 April;56(4):181-90

language: English, Italian

Treatment of severe bilateral temporomandibular joint ankylosis in adults: our protocol

Turco M. 1, Di Cosola M. 1, Faccioni F. 2, Cortelazzi R. 1

1 Department of Maxillofacial Surgery University of Bari, Bari, Italy
2 Department of Dentistry University of Verona, Verona, Italy


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Aim. In order to evaluate the reliability of interpositional gap arthroplasty with temporalis myofascial flap the authors retrospectively analysed the data of 5 patients suffering from bilateral temporomandibular ankylosis operated on with this technique.
Methods. The preoperative assessment included evaluation of pain during function, interference with eating and the maximal interincisal distance. All patients received bony ankylosis removal, interposition of a finger-shaped temporalis myofascial flap in the articular gap and coverage with temporoparietal fascial flap as a new capsule. In the postoperative period an aggressive physiotherapy was carried on for at least 6 months.
Results. All cases experimented release of pain (evaluated by a Visual Analogue Scale method), a return to a normal diet and a stable improvement in mouth opening during the follow-up period.
Conclusion. This technique should be considered a reliable method to avoid relapse of ankylosis and to stabilize postoperative results.

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