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Abstract
Abstract.
This study sought to determine the efficacy of interpositional arthroplasty with temporalis
muscle and fascia flap in the treatment of unilateral temporomandibular joint (TMJ)
ankylosis in adults. This retrospective study of seven cases evaluated the postoperative
results of interpositional arthroplasty on temporalis muscle and fascia flap in adults.
The operative protocol for unilateral TMJ ankylosis entailed, (1) resection of ankylotic
mass, (2) intraoral ipsilateral coronoidectomy, (3) contralateral coronoidectomy when
necessary, (4) interpositional tissue transfer to the TMJ with temporalis muscle and
fascia flap, (5) maxillomandibular fixation (MMF), and (6) early mobilization and
aggressive physiotherapy. The results of this protocol were encouraging, while the
functional results of interpositional arthroplasty on temporalis muscle and fascia
flap were satisfactory. The findings of this study support the use of temporalis muscle
and fascia flap in adult patients with unilateral TMJ ankylosis. Early postoperative
initial exercise, physiotherapy, and strict follow-up play an important role in preventing
postoperative adhesions.
Keywords
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Article info
Publication history
Accepted:
January 10,
2001
Identification
Copyright
© 2001 Published by Elsevier Inc. All rights reserved.
