Two-stage treatment protocol for the management of temporomandibular joint ankylosis with secondary deformities in adults

VernacularTitle:分期治疗方案矫治成人颞下颌关节强直及其继发畸形
Author: Yangmei JIANG ; Jing HU ; Ge FENG ; Jihua LI ; En LUO ; Yao LIU ; Songsong ZHU
Publication Type:Journal Article
Keywords: Temporomandibular joint; Ankylosis; Maxillofacial abnormalities; Arthroplasty
From: Journal of Practical Stomatology 2015;(1):63-67
CountryChina
Language:Chinese
Abstract: Objective:To introduce a 2-stage treatment protocol for the management of temporomandibular joint ankylosis with sec-ondary deformities in adults.Methods:24 adult patients (9 males and 15 female)(30 joints)at the average age of 26.1 years un-derwent TMJ reconstruction as the initial surgery,followed by orthodontic treatment and correction of secondary deformities as the sec-ond surgery.Clinical outcome was assessed based on maximal incisal opening,radiography and medical photography.Results:Skele-tal deformities were significantly improved in all patients,satisfactory occlusion was achieved with the orthodontic treatment,average maximal incisal opening increased from 3.4 mm to 32.5 mm(P <0.05).Conclusion:The 2-stage treatment protocol is an effective approach for management of TMJ ankylosis with secondary deformities in adult patients.