Ankylosis Due Sequel Of Fracture Of The Mandibular Condyle: Case Report

  • Alina Alencar Ferreira Gomes School of Dentistry, University Center UNILEÃO, Juazeiro do Norte, Ceará, Brazil.
  • Gioconda Alves Pereira
  • Ítalo Kennedy Silva Santos
  • Jefferson David Melo de Matos
  • Jéferson Martins Pereira Lucena Franco
  • Mauricio Antonio dos Santos
  • John Eversong Lucena de Vasconcelos.
  • David Gomes de Alencar Gondim
  • Francisco Aurélio Luchesi Sandrini
  • Ivo Cavalcante Pita Neto

Abstract

The Ankylosis of the Temporomandibular joint (TMJ) is a disorder of craniofacial complex that results in the merger between the condyle and the mandibular fossa, causing partial or complete immobilization of the mandible. The etiological factors are local and systemic inflammation, infection in the area of TMJ, rheumatic diseases and neoplasms, having the trauma as the main etiologic factor. The traumas are responsible for 31% to 98% of cases of ankylosis. The diagnosis is made from the anamnesis and imaging scans (computed tomography) pointing to the union of joint components. The treatment of ankylosis is a big challenge due the high rate of recurrence that can be affected by factors such as type of ankylosis, surgical technique, age of the patient, post-operative physiotherapy and systematic follow-up of the patient. The various forms of treatment require careful analysis of type of ankylosis if it is intra or extra-articular, unilateral or bilateral and if it is bony or fibrous, There is no consensus in current literature regarding the best treatment. The aim of this work is to present through the report of a clinical case, a surgical treatment of Unilateral Temporomandibular joint Ankylosis, due to sequel of condylar fracture with re-establishment of the stomatognathic functions in postoperative follow-up.

Author Biography

Alina Alencar Ferreira Gomes, School of Dentistry, University Center UNILEÃO, Juazeiro do Norte, Ceará, Brazil.

School of Dentistry, University Center UNILEÃO, Juazeiro do Norte, Ceará, Brazil.

References

1. Arakeri G, Kusanale A, Zaki GA, Brennan P. A. Pathogenesis of post-traumatic ankylosis of the temporomandibular joint: a critical review. The British Journal of Oral & Maxillofacial Surgery.2012; 50: 8-12.
2. Barghan S.; Tetradis S, Mallya S. Application of cone beam computed tomography for assessment of the temporomandibular joints. Australian Dental Journal. 2012; 57: 109-118.
3. Benaglia MB, Gaetti-Jardim, EC, Oliveira JG, Mendonça JC. Bilateral temporomandibular joint ankylosis as sequel of bilateral fracture of the mandibular condyle and symphysis. Oral and Maxillofacial Surgery. 2014; 18: 39-42.
4. Chidzonga MM. Temporomandibular joint ankylosis: review of thirty-two cases. The British Journal of Oral & Maxillofacial Surgery. 1999; 37: 123–126.
5. Chossegros C, Guyot L, Cheynet F, Blanc JL, Gola R.; Bourezack Z, Conrath J. Comparison of different materials for interposition arthroplasty in treatment of temporomandibular joint ankylo¬sis surgery: long-term follow-up in 25 cases. The British Journal of Oral & Maxillofacial Surgery. 1997; 35: 157-60.
6. Chow TK. Open Joint Surgery for Temporomandibular Joint (TMJ). The Hong Kong Medical Diary. 2007; 12, 10.
7. Cunha C. O, Pinto LM, Mendonça LMD, Saldanha AD, Conti AC, Conti PC. Bilateral Asymptomatic Fibrous-Ankylosis of the Temporomandibular Joint Associated with Rheumatoid Arthritis: A Case Report. Brazilian Dental Journal. 2012; 23: 779-782.
8. Dimitroulis G. The interpositional dermis-fat graft in the management of temporomandibular joint ankylosis. International Journal of Oral and Maxillofacial Surgery. 2004; 33: 755-60.
9. Erdem E, Alkan A. The use of acrylic marbles for interposition arthroplasty in the treatment of temporomandibular joint ankylosis: follow-up of 47 Cases.
International Journal of Oral and Maxillofacial Surgery. 2001; 30: 32-36.
10. Figueiredo LMG, Paraguassu GM, Valente ROH, Costa WRM.; Trindade SC, Sarmento VA. Anquilose da articulação temporomandibular tratada por artroplastia interposicional com enxerto costocondral: relato de caso clínico. Revista de Cirurgia e Traumatologia Buco-Maxilo-Facial. 2012; 12: 47-52.
11. Gupta H, Tandon P, Kumar D, Sinha VP, Gupta S, Mehra H, Singh J. Role of coronoidectomy in increasing mouth opening. National Journal of Maxillofacial Surgery. 2014; 5: 23-30.
12. He D, Yang C, Chen M, Zhang X, Qiu Y, Yang X, Li L, Fang B. Traumatic Temporomandibular Joint Ankylosis: Our Classification and Treatment Experience. Journal of Oral and Maxillofacial Surgery. 2011; 69: 1600-1607.
13.Heggie AA. Concepts in the management of temporomandibular ankylosis. Annals of the Royal Australasian College of Dental Surgeons. 1996; 13: 132-5.
14. Huang IY, Lai ST, Shen YH, Worthington P. Interpositional arthroplasty using autogenous costal cartilage graft for temporomandibular joint ankylosis in adults. International Journal Oral Maxillofacial Surgery. 2007; 36: 909-15.
15. Kaban LB, Troulis MJ Acquired Abnormalities of the Temporomandibular Joint. Pediatric Oral and Maxillofacial Surgery. Philadelphia. 2004: 340-75.
16. Kaban LB, Perrott DH, Fisher K. A protocol for management of temporomandibular joint ankylosis. Journal of Oral Maxillofacial Surgery. 1990; 48: 1145-51.
17. Ko EW, Huang CS, Chen YR, Figueroa AA. Cephalometric craniofacial characteristics in patients with temporomandibular joint ankylosis. Chang Gung Medical Journal. 2005; 28: 456-466.
18. Ma J, Liang L, Jiang H, Gu B. Gap arthroplasty versus interpositional arthroplasty for temporomandibular joint ankylosis: A meta-analysis. PloS ONE. 2015; 10: 1-12.
19. Manganello-Souza, L. C, Mariani PB. Temporomandibular joint ankylosis: report of 14 cases. International Journal of Oral & Maxillofacial Surgery. 2003; 32: 24-29.
20. Matsuura H, Miyamoto H, Ogi N, Kurita K, Goss AN. The effect of gap arthroplasty on temporomandibular joint ankylosis: an experimental study. International Journal of Oral Maxillofacial Surgery. 2001; 30: 431-7.
21. Meng Q, Li B, Long X, Li J, Yan Q. Ankylosis of temporomandibular joint after the traumatic brain injury: a report of two cases. Dental Traumatology. 2013; 29: 328-33.
22. Movahed R, Mercuri LG. Management of Temporomandibular Joint Ankylosis. Oral and Maxillofacial Surgery Clinics of North America. 2015; 27: 27-35.
23. Pal US, Singh N, Malkunje LR, Singh RK, Dhasmana S, Yadav AK, Chand S. Retrospective study of absorbable gelatin sponge soaked in triamicinolone acetonide as interpositioning material in temporomandibular joint ankylosis in 350 patients. Journal of Oral Biology and Crâniofacial Research. 2013; 3: 20-4.
24. Singh V, Dhingra R, Sharma B, Bhagol A, Kumar P. Retrospective analysis of use of buccal fat pad as an interpositional graft in temporomandibular joint ankylosis: preliminary study. Journal of Oral and Maxillofacial Surgery. 2011; 69: 2530-6.
25. Sawhney CP. Bony ankylosis of the temporomandibular joint: follow-up of 70 patients treated with arthroplast and acrylic spacer interposition. Plast Reconst Surg. 1986;77:29–49.
26. Song JY, Kim SG, Choi HM, Kim HJ. Severe bony ankylosis of the temporomandibular joint on one side and contralateral adhesion: A case report. Imaging Science in Dentistry. 2015; 45: 103-108.
27. Sporniak-Tutak K, Janiszewska-Olszowska J, Kowalczik R. Management of temporomandibular ankylosis – compromise or individualization – a literature review. International Medical Journal of Experimental and Clinical Research. 2011; 17: 111-116.
28. Yan YB, Liang SX, Shen J, Zhang JC, Zhang Y. Current concepts in the pathogenesis of traumatic temporomandibular joint ankylosis. Head & Face Medicine. 2014; 4: 10-35.
29. Zhi K, Ren W, Zhou H, Gao L, Zhao L, Hou C, et al.Management of temporomandibular joint ankylosis:11 years clinical experience. Oral Surg Oral Med Oral PatholOral Radiol Endod. 2009;108:687–92.
30. Zhu S, Li J, Luo E, Feng G, Ma Y, Hu J. Two-stage treatment protocol for management of temporomandibular joint ankylosis with secondary deformities in adults: our institution's experience. Journal of Oral and Maxillofacial Surgery. 2011; 69: 565-72.
Published
2017-08-17
How to Cite
GOMES, Alina Alencar Ferreira et al. Ankylosis Due Sequel Of Fracture Of The Mandibular Condyle: Case Report. International Archives of Medicine, [S.l.], v. 10, aug. 2017. ISSN 1755-7682. Available at: <http://imedicalsociety.org/ojs/index.php/iam/article/view/2670>. Date accessed: 22 sep. 2017. doi: https://doi.org/10.3823/2507.
Section
Cranio-Maxillofacial Surgery