Surgical challenges after misdiagnosis of mandibular condylar fracture: A case report
,
Abstract
TMJ ankylosis is a partial or complete loss of movement in mandible that occurs as a result of several causes. Trauma is the most common cause of TMJ ankylosis. Surgical procedures are aimed at restoring anatomic structure, function and providing growth potential as well as preventingreoccurrences. In this paper, we are introducing a case of 28 years old woman, who suffered from unaesthetic appearance and TMJ ankylosis since the age of 5 but her treatment has been delayed due to misdiagnosis of her problem. She underwent two bilateral condylectomies with and without costochondral grafting, condylar shaving, and orthognathic surgery to solve a problem that could have been avoided. Costochondral graft has been suggested as the “Gold Standard” for TMJ reconstructionin the growing patient but overgrowth and reankylosis are two of its unwanted outcomes that happened after her first and second surgeries. Although the results of TMJ reconstruction is not fully in surgeons hand, with respect to our knowledge about these operations, it seems reankylosis, overgrowing and all other post-operative complications can become preventable.
[1] Vanza B, Patel U, Kulkarni K, Khare N. Bilateral TMJ ankylosis, anesthetic and surgical challenge-ase report. Pediatric Review: InternationalJournal of Pediatric Research. 2016; 3(03).
[2] Do Egito Vasconcelos BC, Porto GG, Bessa-NogueiraRV, Do Nascimento M, Marques M. Surgicaltreatment of temporomandibular joint ankylosis:follow-up of 15 cases and literature review. Medicinaoral, patologia oral y cirugia bucal. 2009;14(1):E34-E8.
[3] Movahed R, Mercuri LG. Management of temporomandibularjoint ankylosis. Oral and maxillofacial surgery clinics of North America. 2015;27(1):27-35.
[4] Al-Moraissi E, El-Sharkawy T, Mounair R, El-GhareebT. A systematic review and meta-analysis ofthe clinical outcomes for various surgical modalitiesin the management of temporomandibularjoint ankylosis. International journal of oral andmaxillofacial surgery. 2015; 44(4):470-82.
[5] Arakeri G, Kusanale A, Zaki GA, Brennan PA. Pathogenesis of post-traumatic ankylosis of thetemporomandibular joint: a critical review. BritishJournal of Oral and Maxillofacial Surgery. 2012;50(1):8-12.
[6] Spijkervet FKL, de Bont LGM, Boering G. Managementof pseudoankylosis of the temporomandibularjoint: Report of cases. Journal of Oral andMaxillofacial Surgery. 1994; 52(11):1211-7.
[7] Yu H, Shen G, Zhang S, Wang X. Gap arthroplastycombined with distraction osteogenesis inthe treatment of unilateral ankylosis of the temporomandibularjoint and micrognathia. BritishJournal of Oral and Maxillofacial Surgery. 2009;47(3):200-4.
[8] Gerbino G, Zavattero E, Berrone S, Ramieri G. Onestage treatment of temporomandibular joint completebony ankylosis using total jointreplacement.Journal of Cranio-Maxillofacial Surgery. 2016;44(4):487-92.
[9] Vasconcelos BCD, Porto GG, Bessa-Nogueira RV,do Nascimento MMM. Surgical treatment of temporomandibularjoint ankylosis: Follow-up of 15cases and literature review. Med Oral Patol Oral.2009; 14(1):E34-E8.
[10] Hoffman D, Puig L. Complications of TMJ surgery.Oral and maxillofacial surgery clinics ofNorth America. 2015; 27(1):109-24.
[11] Erol B, Tanrikulu R, Görgün B. A clinical study onankylosis of the temporomandibular joint. Journalof Cranio-Maxillofacial Surgery. 2006; 34(2):100-6.
[12] Oztan HY, Ulusal BG, Aytemiz C. The role of traumaon temporomandibular joint ankylosis andmandibular growth retardation: an experimentalstudy. Journal of Craniofacial Surgery. 2004;15(2):274-82.
[13] Cascone P, Basile E, Angeletti D, Vellone V, RamieriV, Group PS. TMJ replacement utilizingpatient-fitted TMJ TJR devices in a re-ankylosischild. Journal of Cranio-Maxillofacial Surgery.2016; 44(4):493-9.
[14] Lindqvist C, Pihakari A, Tasanen A, Hampf G.Autogenous costochondral grafts in temporomandibularjoint arthroplasty: A survey of 66 arthroplastiesin 60 patients. Journal of maxillofacialsurgery. 1986; 14:143-9.
[15] Ko EW-C, Huang C-S, Chen Y-R. Temporomandibularjoint reconstruction in children using costochondralgrafts. Journal of oral and maxillofacialsurgery. 1999; 57(7):789-98.
[16] Kaban LB, Perrott DH, Fisher K. A protocol formanagement of temporomandibular joint ankylosis.Journal of oral and maxillofacial surgery. 1990;48(11):1145-51.
[17] Kaban LB, Bouchard C, Troulis MJ. A protocol formanagement of temporomandibular joint ankylosisin children. Journal of Oral and MaxillofacialSurgery. 2009; 67(9):1966-78.
[18] Lei Z. Auricular cartilage graft interposition aftertemporomandibular joint ankylosis surgery inchildren. Journal of Oral and Maxillofacial Surgery.2002; 60(9):985-7.
[19] Gupta S, Gupta H, Mohammad S, Mehra H, NatuSS, Gupta N. Silicone vs temporalis fascia interpositionin TMJ ankylosis: A comparison. Journalof Oral Biology and Craniofacial Research. 2016;6(2):107-10.
[20] Mehrotra D, Pradhan R, Mohammad S, Jaiswara C. Random control trial of dermis-fat graft andinterposition of temporalis fascia in the managementof temporomandibular ankylosis in children.British Journal of Oral and Maxillofacial Surgery.2008; 46(7):521-6.
[21] Selbong U, Rashidi R, Sidebottom A. Managementof recurrent heterotopic ossification around totalalloplastic temporomandibular joint replacement.International Journal of Oral and MaxillofacialSurgery. 2016; 45(10):1234-6.
[22] Wolford LM. Temporomandibular joint devices:treatment factors and outcomes. Oral Surgery,Oral Medicine, Oral Pathology, Oral Radiology,and Endodontology. 1997; 83(1):143-9.
[23]Henry CH, Wolford LM. Treatment outcomes fortemporomandibular joint reconstruction afterProplast-Teflon implant failure. Journal of oraland maxillofacial surgery. 1993; 51(4):352-8.
[24] Mercuri LG, Wolford LM, Sanders B, White RD,Hurder A, Henderson W. Custom CAD/CAM totaltemporomandibular joint reconstruction system:preliminary multicenter report. Journal oforal and maxillofacial surgery. 1995; 53(2):106-15.
[2] Do Egito Vasconcelos BC, Porto GG, Bessa-NogueiraRV, Do Nascimento M, Marques M. Surgicaltreatment of temporomandibular joint ankylosis:follow-up of 15 cases and literature review. Medicinaoral, patologia oral y cirugia bucal. 2009;14(1):E34-E8.
[3] Movahed R, Mercuri LG. Management of temporomandibularjoint ankylosis. Oral and maxillofacial surgery clinics of North America. 2015;27(1):27-35.
[4] Al-Moraissi E, El-Sharkawy T, Mounair R, El-GhareebT. A systematic review and meta-analysis ofthe clinical outcomes for various surgical modalitiesin the management of temporomandibularjoint ankylosis. International journal of oral andmaxillofacial surgery. 2015; 44(4):470-82.
[5] Arakeri G, Kusanale A, Zaki GA, Brennan PA. Pathogenesis of post-traumatic ankylosis of thetemporomandibular joint: a critical review. BritishJournal of Oral and Maxillofacial Surgery. 2012;50(1):8-12.
[6] Spijkervet FKL, de Bont LGM, Boering G. Managementof pseudoankylosis of the temporomandibularjoint: Report of cases. Journal of Oral andMaxillofacial Surgery. 1994; 52(11):1211-7.
[7] Yu H, Shen G, Zhang S, Wang X. Gap arthroplastycombined with distraction osteogenesis inthe treatment of unilateral ankylosis of the temporomandibularjoint and micrognathia. BritishJournal of Oral and Maxillofacial Surgery. 2009;47(3):200-4.
[8] Gerbino G, Zavattero E, Berrone S, Ramieri G. Onestage treatment of temporomandibular joint completebony ankylosis using total jointreplacement.Journal of Cranio-Maxillofacial Surgery. 2016;44(4):487-92.
[9] Vasconcelos BCD, Porto GG, Bessa-Nogueira RV,do Nascimento MMM. Surgical treatment of temporomandibularjoint ankylosis: Follow-up of 15cases and literature review. Med Oral Patol Oral.2009; 14(1):E34-E8.
[10] Hoffman D, Puig L. Complications of TMJ surgery.Oral and maxillofacial surgery clinics ofNorth America. 2015; 27(1):109-24.
[11] Erol B, Tanrikulu R, Görgün B. A clinical study onankylosis of the temporomandibular joint. Journalof Cranio-Maxillofacial Surgery. 2006; 34(2):100-6.
[12] Oztan HY, Ulusal BG, Aytemiz C. The role of traumaon temporomandibular joint ankylosis andmandibular growth retardation: an experimentalstudy. Journal of Craniofacial Surgery. 2004;15(2):274-82.
[13] Cascone P, Basile E, Angeletti D, Vellone V, RamieriV, Group PS. TMJ replacement utilizingpatient-fitted TMJ TJR devices in a re-ankylosischild. Journal of Cranio-Maxillofacial Surgery.2016; 44(4):493-9.
[14] Lindqvist C, Pihakari A, Tasanen A, Hampf G.Autogenous costochondral grafts in temporomandibularjoint arthroplasty: A survey of 66 arthroplastiesin 60 patients. Journal of maxillofacialsurgery. 1986; 14:143-9.
[15] Ko EW-C, Huang C-S, Chen Y-R. Temporomandibularjoint reconstruction in children using costochondralgrafts. Journal of oral and maxillofacialsurgery. 1999; 57(7):789-98.
[16] Kaban LB, Perrott DH, Fisher K. A protocol formanagement of temporomandibular joint ankylosis.Journal of oral and maxillofacial surgery. 1990;48(11):1145-51.
[17] Kaban LB, Bouchard C, Troulis MJ. A protocol formanagement of temporomandibular joint ankylosisin children. Journal of Oral and MaxillofacialSurgery. 2009; 67(9):1966-78.
[18] Lei Z. Auricular cartilage graft interposition aftertemporomandibular joint ankylosis surgery inchildren. Journal of Oral and Maxillofacial Surgery.2002; 60(9):985-7.
[19] Gupta S, Gupta H, Mohammad S, Mehra H, NatuSS, Gupta N. Silicone vs temporalis fascia interpositionin TMJ ankylosis: A comparison. Journalof Oral Biology and Craniofacial Research. 2016;6(2):107-10.
[20] Mehrotra D, Pradhan R, Mohammad S, Jaiswara C. Random control trial of dermis-fat graft andinterposition of temporalis fascia in the managementof temporomandibular ankylosis in children.British Journal of Oral and Maxillofacial Surgery.2008; 46(7):521-6.
[21] Selbong U, Rashidi R, Sidebottom A. Managementof recurrent heterotopic ossification around totalalloplastic temporomandibular joint replacement.International Journal of Oral and MaxillofacialSurgery. 2016; 45(10):1234-6.
[22] Wolford LM. Temporomandibular joint devices:treatment factors and outcomes. Oral Surgery,Oral Medicine, Oral Pathology, Oral Radiology,and Endodontology. 1997; 83(1):143-9.
[23]Henry CH, Wolford LM. Treatment outcomes fortemporomandibular joint reconstruction afterProplast-Teflon implant failure. Journal of oraland maxillofacial surgery. 1993; 51(4):352-8.
[24] Mercuri LG, Wolford LM, Sanders B, White RD,Hurder A, Henderson W. Custom CAD/CAM totaltemporomandibular joint reconstruction system:preliminary multicenter report. Journal oforal and maxillofacial surgery. 1995; 53(2):106-15.
| Files | ||
| Issue | Vol 5, No 1 (Winter 2018) | |
| Section | Case Report(s) | |
| Keywords | ||
| Misdiagnosis TemporomandibularJoint ankylosis Costochondral graft Temporomandibular reconstruction. | ||
| Rights and permissions | |
|
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Pakravan AH, Bamdadian T, Khodayari A, Heydarian A, Yousefnezhad M. Surgical challenges after misdiagnosis of mandibular condylar fracture: A case report. J Craniomaxillofac Res. 2018;5(1):54-60.
