ABSTRACT
Fusion of the zygomatic bone to the coronoid process of the mandible is a rare phenomenon reported in the literature and commonly called as zygomaticocoronoid ankylosis. It can be sequel of trauma or infection in the midfacial region, mimicking a wide range of problems including the common temporomandibular joint ankylosis and dysfunction. Maxillofacial trauma involving the displaced fracture of zygoma can obstruct the movement of coronoid and if not treated can cause ankylosis between both bones. It is very diffi cult to identify zygomaticocoronoid ankylosis on conventional radiographs and requires the through clinical and advanced radiological evaluation like cone-beam computed tomographic (CBCT) to diagnose it. CBCT can be a great help to identify the size and extension of ankylotic mass and decide the approach to remove it. Zygomaticocoronoid ankylosis can be approached intraorally by Keen’s incision, and extraorally through a hemicoronal approach we have approached intraorally. Here, we present surgical management of post-traumatic zygomaticocoronoid ankylosis in 42-year-old male patient who had trismus for 18 years.
Subject(s)
Adult , Ankylosis/diagnosis , Ankylosis/epidemiology , Ankylosis/etiology , Ankylosis/surgery , Humans , Male , Maxillofacial Injuries/complications , Temporomandibular Joint Disorders/diagnosis , Temporomandibular Joint Disorders/epidemiology , Temporomandibular Joint Disorders/etiology , Temporomandibular Joint Disorders/surgery , Trismus/complications , Trismus/epidemiology , Zygoma/diagnosis , Zygoma/etiology , Zygoma/surgeryABSTRACT
La anquilosis de la articulación temporomandibular (ATM) es una patología cada vez menos común y generalmente se presenta como la secuela de un trauma. Es una enfermedad extremadamente invalidante que causa problemas en la masticación, la digestión, el habla, la apariencia y la higiene, que limita la capacidad de atención, especialmente en los pacientes en crecimiento, donde también se asocia a deformidades de la mandíbula y maxila, causando asimetría facial. El enfoque terapéutico de la anquilosis postraumática depende fundamentalmente de la edad del paciente, la localización y la magnitud de la fusión. El tratamiento de estos pacientes es controvertido por el alto índice de recidiva y el inconveniente de predecir el crecimiento de la mandíbula y en consecuenica, del maxilar. El objetivo es marcar la necesidad de protocolizar el tratamiento según la edad del paciente, enfatizando la intervención temprana y un acompañamiento integral del individuo. Se debe prestar especial consideración a los niños para garantizar el seguimiento durante el proceso de crecimiento y desarrollo, con la intención de disminuir las secuelas de la patología en el desarrollo del macizo craneofacial
Subject(s)
Child , Ankylosis/etiology , Temporomandibular Joint Disorders/pathology , Mandibular Injuries/complications , Arthroplasty, Replacement/methods , Clinical Protocols , Maxillofacial Development , Ossification, HeterotopicABSTRACT
Twenty-six patients (12 males and 14 females) between two days and 41 years old with temporomandibular joint ankylosis were retrospectively reviewed. Thirty-three joints were involved; 19 unilateral and six bilateral. The aetiologies were trauma, 69.2%; infection, 15.4%; unknown, 11.5% and congenital, 3.9. The majority, 31 were intracapsular while the remaining two joints were extracapsular. 51.6% were limited to the condyle, 32.2% extended to the coronoid process and the zygomatic, 9.7% extended to the sigmoid notch while the remaining 6.5% had maxillomandibular fusion. Tracheostomy (48%) was the most common mode of intubation. Gap arthroplasty was carried out in 20 joints while 11 joints had interposition arthroplasty. Postoperative complications were seven anterior open bite, three facial nerve weakness, three infections and two recurrences.
Veintiséis pacientes (12 varones y 14 hembras) entre dos días de nacidos y 41 años de edad que presentaban anquilosis de la articulación, fueron objeto de un examen retrospectivo. El examen abarcó el estudio de treinta y tres articulaciones - 19 unilaterales y seis bilaterales. Las etiologías fueron traumas (69.2%), infecciones (15.4%), causas desconocidas (11.5%) y causas congénitas (3.9%). La mayoría - 31 en total - fueron intracapsulares, en tanto que las otras dos restantes fueron extracapsulares. El 51.6% estuvieron limitadas al cóndilo, 32.2% se extendían al proceso coronoides y el cigomático, 9.7% se extendían hasta la escotadura sigmoidea, mientras que el restante 6.5% presentaba fusión maxilomandibular. La traqueotomía (48%) fue el modo de entubación más común. La artroplastia de intervalo se llevó a cabo en 20 articulaciones, mientras que 11 articulaciones tuvieron artroplastia de interposición. Las complicaciones post-operatorias fueron siete casos de mordida abierta anterior, tres casos de debilidad del nervio facial, tres infecciones, y dos recurrencias.
Subject(s)
Adolescent , Adult , Child , Child, Preschool , Female , Humans , Infant , Infant, Newborn , Male , Young Adult , Ankylosis/surgery , Temporomandibular Joint Disorders/surgery , Ankylosis/etiology , Temporomandibular Joint Disorders/etiologyABSTRACT
Ankylosis of the temporomandibular joint following forceps delivery is a rare anomaly. The aetiopathogenesis involves wrongful application of the forceps or forceful closure of the forceps handle against the condyle with haemathrosis, organisation and subsequent ankylosis. Because of the lack of epidemiological data, there is little information about the true incidence and the management of this rare anomaly. The purpose ofthis presentation is to report the challenges encountered in the airway management of a six-year old female with right temporomandibular joint ankylosis following forceps delivery in a private hospital setting.
La anquilosis de la articulacion temporomandibular tras el uso de forceps siguientes es una rara anomalia. La etiopatogenesis implica la aplicacion indebida de los forceps o el cierre forzoso del mango de los forceps contra el condilo con hemartrosis, organizacion y subsiguiente anquilosis. Debido a lafalta de datos epidemiologicos, hay poca informacion acerca de la verdadera incidencia y el tratamiento de esta rara anomalia. El objetivo de esta presentacion es informar los problemas encontrados en el tratamiento de las vias respiratorias de una niha de seis ahos con anquilosis de la articulacion temporomandibular derecha tras de un parto con forceps en el contexto de un hospital privado.
Subject(s)
Child , Female , Humans , Airway Management/methods , Ankylosis/surgery , Extraction, Obstetrical/adverse effects , Temporomandibular Joint Disorders/surgery , Ankylosis/etiology , Mandibular Condyle/injuries , Temporomandibular Joint Disorders/etiologyABSTRACT
By using distraction osteogenesis technique, 3 cases of mandibular hypoplasia were treated by home-made and German-made jaw distractors: including one patient suffered from bilateral ankylosis of temporo-mandibular joint and 2 patients from deficiency of mandible. The duration of distraction osteogenesis was one month. The bone distractor was removed 3 months after operation. Satisfactory results were obtained in all 3 cases. Distraction osteogenesis can successfully be used in mandibular functional reconstruction and has much more advantages than traditional technique.
Subject(s)
Ankylosis/etiology , Ankylosis/surgery , Bone Transplantation , Mandible/abnormalities , Mandible/surgery , Oral Surgical Procedures , Osteogenesis, Distraction , Temporomandibular JointABSTRACT
A clinical profile to assess the etiologic factors on TMJ ankylosis, In this study an evaluation of 18 cases according to the age of onset, sex, etiologic factors, sides affected on the face and the type of ankylosis. This article strives to project a relationship between the etiology and clinical presentation of TMJ Ankylosis.
Subject(s)
Age of Onset , Ankylosis/etiology , Child , Child, Preschool , Female , Focal Infection, Dental/complications , Humans , Infant , Infant, Newborn , Male , Maxillofacial Injuries/complications , Sex Factors , Temporomandibular Joint Disorders/etiologyABSTRACT
A study was carried out from Jan 1999 till Dec 2001 at oral and maxillofacial department, AFID, Rawalpindi. The purpose of the study was twofold i.e.; retrospective to determine the cause of temporomandibular joint ankylosis and prospective to see the results of functional rehabilitation by gap arthroplasty with coronoidectomy followed by immediate postoperative mouth opening exercises with Monoblock by Reichenbach. Fifty [50] patients [63 joints] were treated and are regularly followed up. Study showed that major cause of temporomandibular joint ankylosis was trauma [88%] and the mean postoperative IED obtained through operative procedure and postoperative rehabilitation was 30.89 mm
Subject(s)
Humans , Male , Female , Ankylosis/etiology , Arthroplasty , Rehabilitation , Oral Surgical Procedures , Temporomandibular Joint/abnormalities , Orthodontics, Corrective , Temporomandibular Joint Dysfunction SyndromeABSTRACT
Os autores realizaram um estudo retrospectivo, avaliando 42 pacientes (44 joelhos) com deformidade em flexäo do joelho, com idade que variou de 6 a 63 anos, tratados pelo método de Ilizarov. Relatam a incapacidade que essa patologia acarreta ao apoio e á marcha e adificuldade que os métodos convencionais (cirúrgicos e näo cirúrgicos) apresentam no tratamento. Detalhes da metodologia säo apresentados, dando-se ênfase ás dobradiças, principal elemento na correçäo da deformidade. A principal complicaçäo encontrada foi a anquilose óssea intra-articular desenvolvida durante a distraçäo em 6 casos que apresentavam previamente lesäo condral. Nesses casos mostram a grande importância da ligamentotaxia articular para ganho da mobilidade e a importância da reabilitaçäo pós-retirada do fixador
Subject(s)
Humans , Male , Female , Child , Adolescent , Adult , Middle Aged , Ilizarov Technique , Knee Injuries/surgery , Ankylosis/etiology , External Fixators , Knee Injuries/complications , Knee Injuries/rehabilitation , Retrospective StudiesABSTRACT
A anquilose dentoalveolar é uma anomalia eruptiva, levando o dente anquilosado a uma condiçäo de infra-oclusäo. Frente a esta condiçäo, os autores fazem uma revisäo da literatura abordando seus principais aspectos, diagnósticos e formas de tratamento
Subject(s)
Humans , Male , Female , Ankylosis , Ankylosis/diagnosis , Ankylosis/etiology , Molar , Tooth, Deciduous , Dental Occlusion , MalocclusionABSTRACT
La anquilosis dental es la fusión del cemento radicular y/o dentina con el hueso alveolar. Puede ocurrir en cualquier momento del proceso eruptivo y su etiología no está bien determinada. Se presenta el caso de un paciente pediátrico con anquilosis de un segundo molar inferior primario. El molar se encontraba cubierto por tejido gingival, sin embargo, sobre el proceso alveolar, existía una pequeña comunicación hacia la cavidad bucal por la que hubo filtración de fluidos y por consiguiente se desarrolló caries dental, aún sin estar erupcionado
Subject(s)
Humans , Male , Child, Preschool , Ankylosis/etiology , Ankylosis/therapy , Tooth, Deciduous/abnormalities , Tooth, Unerupted/surgery , Dental Caries/diagnosisABSTRACT
El objetivo de esta revisión bibliográfica es hacer una reseña sobre la anquilosis, indicando las diferentes teorías existentes hasta ahora sobre su etiología, elementos tanto clínicos como radiográficos para su diagnóstico, los efectos sobre el desarrollo de la oclusión y pautas de tratamiento
Subject(s)
Ankylosis , Ankylosis/etiology , Bone Resorption/physiopathology , Tooth/pathology , OsteogenesisABSTRACT
No período de fevereiro de 1990 a setembro de 1992, 11 pacientes com quadris anquilosados foram submetidos a 14 artroplastias totais. Todos foram reavaliados clínica e radiologicamente, com seguimento médio de 28 meses. As análises realizadas subjetiva e objetivamente, segundo o método de Merle D'Aubigné & Postel, mostraram em sua maioria bons resultados.
Subject(s)
Humans , Male , Adolescent , Adult , Middle Aged , Ankylosis/surgery , Arthroplasty, Replacement, Hip , Ankylosis , Ankylosis/etiology , HipABSTRACT
Os autores descrevem casos de retenção dentária decídua de causa idiopática em pacientes adolescentes, onde o tratamento indicado baseou-se na presença ou ausência do germe do permanente correspondente
Subject(s)
Humans , Male , Female , Adolescent , Ankylosis/diagnosis , Ankylosis/etiology , Ankylosis/therapyABSTRACT
Os autores realizam uma revista da literatura sobre a anquilose da articulaçäo têmporo-mandibular e feita análise dos fatores etiológicos e dos princípios de diagnóstico e de tratamento. O fator trauma destaca-se como a principal causa desta lesäo, sendo a sua patogenia relacionada à proliferaçäo óssea e cartilaginosa. Sua ocorrência, no indivíduo em fase de crescimento, leva a malformaçöes mandibulares pelo comprometimento primário e secundário do crescimento. Para o seu diagnóstico, além do exame clínico cuidadoso, säo essenciais incidênciais radiográficas laterais e ântero-posteriores. Tomografias definem melhor a extensäo da lesäo. O tratamento cirúrgico no adulto visa a recuperaçäo da funçäo e deve ser acompanhado de meios fisioterápicos. A interposiçäo, tecidual ou aloplástica, visa a prevençäo de recidiva
Subject(s)
Humans , Ankylosis/etiology , Ankylosis/surgery , Temporomandibular JointABSTRACT
A anquilose dental caracteriza-se pela fusão anatômica entre o dente e o osso alveolar; acomete, principalmente, os molares decíduos e representa um fator desencadeante de má oclusão. O presente trabalho faz uma breve revisão da literatura, salientando os principais aspectos de interesse clínico da anquilose e procurando verificar a evolução atual dos estudos existentes sobre a sua etiologia e tratamento