Clinical experience in managing temporomandibular joint ankylosis: five-year appraisal in a Nigerian subpopulation
Braimah Ramat, Taiwo Abdurrazaq, Ibikunle Adebayo, Oladejo Taoreed, Adeyemi Mike, Adejobi Francis, Abubakar Siddiq,
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( Braimah Ramat ) - Usmanu Danfodiyo University Teaching Hospital Department of Dental and Maxillofacial Surgery
( Taiwo Abdurrazaq ) - Usmanu Danfodiyo University Teaching Hospital Department of Dental and Maxillofacial Surgery
( Ibikunle Adebayo ) - Usmanu Danfodiyo University Teaching Hospital Department of Dental and Maxillofacial Surgery
( Oladejo Taoreed ) - National Orthopaedic Hospital Dalla Department of Plastic and Oral & Maxillofacial Surgery
( Adeyemi Mike ) - University of Lagos College of Medicine Department of Oral and Maxillofacial Surgery
( Adejobi Francis ) - Obafemi Awolowo University Teaching Hospitals Complex Department of Oral & Maxillofacial Surgery and Oral Pathology
( Abubakar Siddiq ) - Usmanu Danfodiyo University Teaching Hospital Department of Dental and Maxillofacial Surgery
Abstract
Objectives: Temporomandibular joint ankylosis (TMJA) is a joint pathology caused by bony and/or fibrous adhesion of the joint apparatus, resulting in partial or total loss of function.
Materials and Methods: This is a retrospective study conducted between 2012 and 2016 in the northwest region of Nigeria. The data retrieved includes gender, age, etiology of ankylosis, duration of ankylosis, laterality of ankylosis, type of imaging technique, type of airway management, types of incision, surgical procedure, mouth opening, interpositional materials used, and complications. Results were presented as simple frequencies and descriptive statistics.
Results: Thirty-six patients with TMJA were evaluated during the study period. There were 21 males (58.3%) and 15 females (41.7%), yielding a male:female ratio of 1.4:1. The patients’ age ranged from 5 to 33 years with mean±standard deviation (13.8±6.6 years). Thirty-five cases (97.2%) were determined to be true/bony ankylosis, while only 1 case (2.8%) was false/fibrous ankylosis. Most of the TMJA cases (16 cases, 44.4%) were secondary to a fall. In our series, the most commonly utilized incision was the Bramley-Al-Kayat (15 cases, 41.7%). The mostly commonly performed procedures were condylectomies and upper ramus ostectomies (12 cases each, 33.3%), while the most commonly used interpositional material was temporalis fascia (14 cases, 38.9%). The complications that developed included 4 cases (11.1%) of severe hemorrhage, 1 case (2.8%) of facial nerve palsy, and 1 case (2.8%) of re-ankylosis.
Conclusion: Plain radiographs, with their shortcomings, still have significant roles in investigating TMJA. Aggressive postoperative physiotherapy for a minimum of 6 months is paramount for successful treatment.
키워드
Ankylosis; Arthroplasty; Incision; Osteotomy; Temporomandibular joint
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