Management of temporomandibular joint ankylosis in Yemeni children by metatarsal bone grafts.

  • Ali Al-Hudaid Department of Biological and Preventive Sciences, College of Dentistry, University of Science and Technology, Sana’a.
  • Abdullwahab Aldialami Department of Biological and Preventive Sciences, College of Dentistry, University of Science and Technology, Sana’a.
  • Jameel Helmi Department of Biological and Preventive Sciences, College of Dentistry, University of Science and Technology, Sana’a.
  • Mohammed Al-Wesabi Department of Biological and Preventive Sciences, College of Dentistry, University of Science and Technology, Sana’a.
  • Ahmed Madfa Restorative and Prosthodontic Department, College of Dentistry, University of Science and Technology, Sana’a. Department of Conservative Dentistry, Faculty of Dentistry, Thamar University.

Abstract

Aim: This study aimed to evaluate temporomandibular joint reconstruction in Yemeni children with metatarsal bone graft after release of ankylosis. Methodology: Ten patients ≤12 years of age, comprising eight unilateral and two  bilaterally TMJ ankylosis, were selected for this study. These patients underwent reconstruction with 10 non-vascularized metatarsal grafts. The reconstructed joints were then followed for an average of 1 year. Measures of opening, symmetry, and clinical symptoms relating to the reconstructed joints were assessed. Results: Mean pre-operative interincisal aperture was 8.2mm, and immediate post-operative aperture 23.4mm. At the end of the follow-up period, acceptable results were achieved in 8 out of 10 cases, with adequate mouth opening of 35.6mm in 8 out of 10 patients and overall interincisal aperture of 30.3mm. Re-ankylosis occurred in two bilaterally-treated patients at the end of follow-up. Subjectively, 80% of the patients rated their function as satisfactory and were able to occlude and masticate without any difficulty. Conclusion: Reconstruction of TMJ after release of ankylosis utilizing metatarsal bone graft shows a satisfactory interincisal aperture in 80% of patients.

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Published
2017-08-23
How to Cite
AL-HUDAID, Ali et al. Management of temporomandibular joint ankylosis in Yemeni children by metatarsal bone grafts.. Journal of Oral Research, [S.l.], v. 6, n. 8, p. 216-221, aug. 2017. ISSN 0719-2479. Available at: <https://www.joralres.com/index.php/JOralRes/article/view/joralres.2017.060>. Date accessed: 28 mar. 2024. doi: https://doi.org/10.17126/joralres.2017.060.
Section
Articles

Keywords

temporomandibular ankylosis; pediatric patient; surgery; metatarsal graft; Yemen.