alexa Interpositional Arthroplasty in the Treatment of Temporomandibular Joint Ankylosis: A Review of Literature
ISSN: 2161-1076

Surgery: Current Research
Open Access

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Research Article

Interpositional Arthroplasty in the Treatment of Temporomandibular Joint Ankylosis: A Review of Literature

Umut Tuncel*

Department of Plastic Reconstructive and Aesthetic Surgery

*Corresponding Author:
Umut Tuncel M.D
Department of Plastic Reconstructive and Aesthetic Surgery
Gaziosmanpasa University
Faculty of Medicine 60100, Tokat, Turkey
Tel: 90 356 212 29 32
Fax: 90 356 215 34 59
E-mail: [email protected]

Received date: October 20, 2011; Accepted date: November 17, 2011; Published date: November 19, 2011

Citation: Tuncel U (2011) Interpositional Arthroplasty in the Treatment of Temporomandibular Joint Ankylosis: A Review of Literature. Surgery 1:103. doi:10.4172/2161-1076.1000103

Copyright: © 2011 Tuncel U. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



We have reviewed the clinical and experimental reports regarding interpositional arthroplasty materials in the treatment of temporomandibular joint(TMJ) ankylosis. The aim of this review is to determine what constitutes an ideal interpositional material and whether any of the existing materials reported in the literature provide all requirements of an effective disc substitute following the surgical excision of ankylotic mass. We evaluated these reports in terms of the maximum mouth opening(MMO), aetiology, type of ankylosis, type of graft used, recurrence and other complications. Also we compared the results of the other experimental studies with those of our former experimental study. This was the first report that human amniotic membrane(HAM) had been used as an interposition material. The study has clearly demonstrated that HAM was superior to gap arthroplasty evidenced by vertical, left and right jaw movements in the rabbits clinically. This was supported by histological and radiological investigations, as well. However HAM had the inability to achieve the vertical height of the mandibular ramus, so that a total functional reconstruction was not obtained. In reviewing the literature, it is obvious that there is no ideal interpositional material that provides all the criteria for replacement of a missing articular disc following TMJ discectomy. Although HAM as an interpositional material in tmj ankylosis treatment has not yet been used in human beings, we consider HAM as an interface material with replacing the disc using a cartilage graft might be effective to prevent reankylosis method for treatment of type 1 and 2 of TMJ ankylosis.

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