Management of Temporomandibular Joint Reankylosis in Syndromic Patients Corrected with Joint Prostheses: Surgical and Rehabilitation Protocols

Craniomaxillofacial Trauma and Reconstruction

Luigi C. Clauser¹  Giuseppe Consorti¹  Riccardo Tieghi¹  Giovanni Elia¹  Manlio Galiè¹ 

[1] Unit of Cranio Maxillo Facial Surgery, Center for Craniofacial Deformities and Orbital Surgery, Ferrara, Italy

关键词: temporomandibular joint ankylosis;    ankylosis recurrence;    craniofacial malformation;    Goldenhar syndrome;    Pierre Robin sequence;    rehabilitative physiotherapy;   

DOI  :  10.1055/s-0033-1356759

学科分类：口腔科学

来源: Thieme Medical Publishers, Inc.

【 摘 要 】

Temporomandibular joint ankylosis (TMJA) is a severe disorder described as an intracapsular union of the disc-condyle complex to the temporal articular surface with bony fusion. The management of this disability is challenging and rarely based on surgical and rehabilitation protocols. We describe the treatment in two young adults affected by Goldenhar syndrome and Pierre Robin sequence with reankylosis after previous surgical treatments. There are three main surgical procedures for the treatment of TMJA: gap arthroplasty, interpositional arthroplasty, and joint reconstruction. Various authors have described reankylosis as a frequent event after treatment. Treatment failure could be associated with surgical errors and/or inadequate intensive postoperative physiotherapy. Surgical treatment should be individually tailored and adequate postoperative physiotherapy protocol is mandatory for success.

【 授权许可】

Unknown