Temporomandibular joint (TMJ) ankylosis is a pathological condition characterized by articular bony or fibrous tissue fusion. TMJ ankylosis developing during childhood can lead to growth complications because of the loss of mandibular function. Hard and soft autogenous tissue grafting has been used for TMJ reconstruction in the growing patient. However, in cases where autogenous tissue grafts fail either due to unpredictable growth or ankylosis, total alloplastic temporomandibular joint replacement (TMJ TJR) can provide a viable option. The case of a 7-year old female suffering from recurrent bilateral TMJ ankylosis resulting from birth trauma, and with concomitant obstructive sleep apnea syndrome (OSAS) is presented. Due to prior surgical and autogenous graft failures, the decision was made to complete her joint reconstructions utilizing patient-fitted TMJ prostheses. Questions have been raised about the longevity of TMJ TJR devices as well as their lack of growth potential, but children with TMJ ankylosis do not have condyle-related growth potential and that replacing failed autogenous tissue graft material with more autogenous tissue will result in the same adverse outcomes. Therefore, in growing patients with recurrent TMJ ankylosis and/or failed autogenous tissue grafts, there may be a role for TMJ TJR.

TMJ replacement utilizing patient-fitted TMJ TJR devices in a re-ankylosis child / Cascone, Piero; Basile, Emanuela; Angeletti, Diletta; Vellone, Valentino; Ramieri, Valerio; Giancotti, A.; Castori, Marco; Lenzi, Jacopo; Manganaro, L.; Papoff, Paola; Pizzuti, P.; Polimeni, Antonella; Roggini, Mario; Tarani, Luigi; Silvestri, Alessandro. - In: JOURNAL OF CRANIO-MAXILLOFACIAL SURGERY. - ISSN 1010-5182. - ELETTRONICO. - 44:4(2016), pp. 493-499. [10.1016/j.jcms.2015.06.018]

TMJ replacement utilizing patient-fitted TMJ TJR devices in a re-ankylosis child

CASCONE, PIERO
Primo
;
BASILE, EMANUELA
Secondo
;
ANGELETTI, DILETTA;VELLONE, VALENTINO
Penultimo
;
RAMIERI, VALERIO
Ultimo
;
Giancotti, A.;LENZI, JACOPO;Manganaro, L.;PAPOFF, PAOLA;POLIMENI, Antonella;ROGGINI, Mario;TARANI, Luigi;SILVESTRI, ALESSANDRO
2016

Abstract

Temporomandibular joint (TMJ) ankylosis is a pathological condition characterized by articular bony or fibrous tissue fusion. TMJ ankylosis developing during childhood can lead to growth complications because of the loss of mandibular function. Hard and soft autogenous tissue grafting has been used for TMJ reconstruction in the growing patient. However, in cases where autogenous tissue grafts fail either due to unpredictable growth or ankylosis, total alloplastic temporomandibular joint replacement (TMJ TJR) can provide a viable option. The case of a 7-year old female suffering from recurrent bilateral TMJ ankylosis resulting from birth trauma, and with concomitant obstructive sleep apnea syndrome (OSAS) is presented. Due to prior surgical and autogenous graft failures, the decision was made to complete her joint reconstructions utilizing patient-fitted TMJ prostheses. Questions have been raised about the longevity of TMJ TJR devices as well as their lack of growth potential, but children with TMJ ankylosis do not have condyle-related growth potential and that replacing failed autogenous tissue graft material with more autogenous tissue will result in the same adverse outcomes. Therefore, in growing patients with recurrent TMJ ankylosis and/or failed autogenous tissue grafts, there may be a role for TMJ TJR.
2016
TMJ ankylosis; TMJ bilateral ankylosis; growing patients; TMJ ankylosis; total joint replacement in children TMJ TJR; OSAS
01 Pubblicazione su rivista::01a Articolo in rivista
TMJ replacement utilizing patient-fitted TMJ TJR devices in a re-ankylosis child / Cascone, Piero; Basile, Emanuela; Angeletti, Diletta; Vellone, Valentino; Ramieri, Valerio; Giancotti, A.; Castori, Marco; Lenzi, Jacopo; Manganaro, L.; Papoff, Paola; Pizzuti, P.; Polimeni, Antonella; Roggini, Mario; Tarani, Luigi; Silvestri, Alessandro. - In: JOURNAL OF CRANIO-MAXILLOFACIAL SURGERY. - ISSN 1010-5182. - ELETTRONICO. - 44:4(2016), pp. 493-499. [10.1016/j.jcms.2015.06.018]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/819189
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