Combined treatment of temporomandibular joint ankylosis and secondary dentofacial deformities

Abstract

Abstract: Temporomandibular joint (TMJ) ankylosis with secondary dentofacial deformities is a severely disfiguring condition and surgical treatment remains a great clinical challenge. The treatment goals are to restore the joint function, to improve facial appearances and to correct malocclusion, as well as to re-establish balance among them. Currently, various surgical techniques, such as arthroplasty with or without interpositional materials, orthognathic surgery, distraction osteogenesis and plastic surgery, have been proposed in the literature. The greatest difficulty for most clinicians is how to determine the proper sequence of these procedures because no uniform treatment protocol has been established. This review summarized current surgical procedures and discussed some factors involved in the treatment of TMJ ankylosis with dentofacial deformities.

Key words: Temporomandibular joint, Ankylosis, Dentofacial deformity

CLC Number:

R782.6

ZHU Song-song, HU Jing.. Combined treatment of temporomandibular joint ankylosis and secondary dentofacial deformities[J]. China Journal of Oral and Maxillofacial Surgery, 2016, 14(3): 193-197.

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