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[External temporomandibular ankylosis].

J Lachard, J L Blanc, J P Lagier

    Revue De Stomatologie Et De Chirurgie Maxillo-Faciale
    |January 1, 1984
    PubMed
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    Trauma is the main cause of temporomandibular joint (TMJ) ankylosis. A specific form of post-traumatic TMJ ankylosis allows for favorable surgical outcomes without altering facial height.

    Area of Science:

    • Oral and Maxillofacial Surgery
    • Orthodontics
    • Anatomy

    Background:

    • Temporomandibular joint (TMJ) ankylosis is a debilitating condition often resulting from trauma.
    • Understanding the specific anatomical forms of TMJ ankylosis is crucial for effective surgical planning.

    Purpose of the Study:

    • To identify and characterize anatomoclinical forms of post-traumatic temporomandibular joint ankylosis.
    • To evaluate the surgical prognosis for a specific type of post-traumatic TMJ ankylosis.

    Main Methods:

    • Retrospective analysis of 24 surgically treated cases of temporomandibular ankylosis since 1976.
    • Identification of distinct anatomoclinical presentations of post-traumatic TMJ ankylosis.

    Main Results:

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    • Trauma was the predominant etiology in the treated cases.
    • A specific anatomoclinical form was identified, characterized by an external block from the condylar neck to the zygomatic bone.
    • Resection of this block did not affect the height of the ascending ramus, indicating a favorable prognosis.

    Conclusions:

    • Post-traumatic temporomandibular joint ankylosis presents with identifiable anatomoclinical characteristics.
    • Surgical treatment of this specific form of ankylosis offers a favorable prognosis regarding mandibular height preservation.