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Ankylosis management with autogenous grafts: A systematic review.
Sujata Mohanty1, Anjali Verma1
1Department of Oral and Maxillofacial Surgery, Maulana Azad Institute of Dental Sciences, Bahadur Shah Zafar Marg, New Delhi, 110002, India.
Journal of Oral Biology and Craniofacial Research
|May 24, 2021
Summary
Autogenous grafts, particularly costochondral and coronoid grafts, are effective for temporomandibular joint (TMJ) ankylosis reconstruction. Further prospective and randomized studies are recommended to refine treatment strategies for TMJ disorders.
Area of Science:
- Oral and Maxillofacial Surgery
- Regenerative Medicine
- Biomaterials Science
Background:
- Temporomandibular joint (TMJ) ankylosis presents a significant challenge in reconstructive surgery.
- Autogenous grafts are frequently employed for reconstruction, but evidence on their comparative efficacy requires synthesis.
Purpose of the Study:
- To systematically review and assess clinical outcomes of reconstructive methods using autogenous grafts for TMJ ankylosis.
- To identify and compare various surgical modalities for TMJ ankylosis management.
Main Methods:
- A comprehensive systematic review of electronic and manual literature searches was conducted in January 2021.
- Included studies comprised randomized controlled trials, prospective, retrospective, and ambispective studies, without date or language restrictions.
- Twenty-six publications met the inclusion criteria.
Main Results:
- Costochondral grafts were the most frequently used, followed by coronoid process grafts.
- Meta-analysis was precluded by the predominantly non-controlled nature of the included studies.
- Strong evidence supports autogenous grafts, specifically costochondral and coronoid grafts, as favored reconstruction methods.
Conclusions:
- Autogenous grafts, particularly costochondral and coronoid grafts, demonstrate robust clinical outcomes for TMJ ankylosis reconstruction.
- Future research should prioritize prospective and randomized controlled studies to optimize the stratification and application of autogenous grafts in TMJ management.

