Reankylosis of temporomandibular joint 5 years after interpositional arthroplasty using gold foil: management and follow up (a case report)

TL;DR

A 17-year-old patient experienced TMJ reankylosis 5 years after gold foil surgery, which was successfully treated with a new surgical approach.

Contribution

A treatment option using temporalis fascia and costochondral graft for TMJ reankylosis in growing patients is proposed.

Findings

Interpositional arthroplasty using temporalis fascia and costochondral graft improved mouth opening and masticatory function.

One-year follow-up showed stable results with no recurrence of reankylosis.

Growing age and previous surgical factors increase the risk of TMJ reankylosis.

Abstract

Temporomandibular Joint (TMJ) reankylosis is one of TMJ arthroplasty complications that can interfere masticatory function and aesthetics. This case report aimed to describe a TMJ reankylosis in growing age patient that occurred 5 years after interpositional arthroplasty using gold foil. Interpositional arthroplasty using temporalis fascia and costochondral graft followed by unilateral coronoidectomy could be a treatment option.

A 17-year-old female came with inability to open her mouth 5 years after first interpositional arthroplasty using gold foil due to traumatic TMJ ankylosis. Patient was diagnosed type IV left TMJ reankylosis with left coronoid process hyperplasia. Patient was treated with interpositional arthroplasty using temporalis fascia as an interposition material for articular disc substitution, costochondral graft for ramus condyle unit (RCU) reconstruction and followed by unilateral coronoidectomy. Postoperative mouth opening was ±26 mm. One year evaluation showed stable mouth opening and no recurrency occured.

Age at growing period, insufficient gap width, surgical technique and the effects of previous surgery may generate TMJ reankylosis. Temporalis fascia widely used for interposision material and act as a lubricant that makes movement frictionless. Costochondral graft can be used for RCU reconstruction to prevent decreasing mandibular ramus height and openbite.

Growing age increases the risk of TMJ reankylosis. Interpositional arthroplasty, which used temporalis fascia and a costochondral graft, has resulted in a sufficient mouth opening and an improvement in masticatory function. Recurrence was not found in the 1-year postoperative evaluation.

•Reankylosis of temporomandibular joint after interpositional arthroplasty using gold foil•Growing age increases the risk of TMJ reankylosis•Interpositional arthroplasty using temporalis muscle fascia and costochondral graft maybe a treatment option

Reankylosis of temporomandibular joint after interpositional arthroplasty using gold foil

Growing age increases the risk of TMJ reankylosis

Interpositional arthroplasty using temporalis muscle fascia and costochondral graft maybe a treatment option

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