Management of paediatric ankylosis
Temporomandibular joint ankylosis (TMJa) is one of the most crippling craniomaxillofacial pathological conditions characterized by replacement of normal architecture of temporomandibular joint (TMJ) with fibrous or bony tissue. The incidence of TMJa is most common in the paediatric population [first...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-03-01
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| Series: | Journal of Oral Biology and Craniofacial Research |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212426823000064 |
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| author | Neelam Noel Andrade Prathmesh Kapoor Paul Mathai Varsha Gupta V.K. Lakshmi Shelly Sharma |
| author_facet | Neelam Noel Andrade Prathmesh Kapoor Paul Mathai Varsha Gupta V.K. Lakshmi Shelly Sharma |
| author_sort | Neelam Noel Andrade |
| collection | DOAJ |
| description | Temporomandibular joint ankylosis (TMJa) is one of the most crippling craniomaxillofacial pathological conditions characterized by replacement of normal architecture of temporomandibular joint (TMJ) with fibrous or bony tissue. The incidence of TMJa is most common in the paediatric population [first and second decades of life] and is commonly associated with maxillofacial trauma. Comprehensive management entails a thorough evaluation of the associated anatomy of the ankylotic mass and other pertinent details like the presence or absence of obstructive sleep apnoea. Categorizing patients based on these variables helps in selecting an appropriate surgical intervention. Various resective and reconstructive surgical techniques are discussed; along with their merits and demerits. Long-term physiotherapy, long-term clinical follow-up and appropriate family counselling are the essential pillars for success. In this review, the authors present an algorithmic approach to evaluation and management of paediatric TMJa. Appropriate recommendations are made based on evidence to select optimum surgical intervention. |
| format | Article |
| id | doaj-art-a3edfc5e4e7f4121909318b906d1da63 |
| institution | DOAJ |
| issn | 2212-4268 |
| language | English |
| publishDate | 2023-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Oral Biology and Craniofacial Research |
| spelling | doaj-art-a3edfc5e4e7f4121909318b906d1da632025-08-20T02:50:26ZengElsevierJournal of Oral Biology and Craniofacial Research2212-42682023-03-0113219120110.1016/j.jobcr.2023.01.006Management of paediatric ankylosisNeelam Noel Andrade0Prathmesh Kapoor1Paul Mathai2Varsha Gupta3V.K. Lakshmi4Shelly Sharma5Head of Department of Oral & Maxillofacial Surgery and Dean of Nair Dental College & Hospital, Mumbai and Dean of NESCO Jumbo Covid Care Center, Mumbai, Dean's Office, Nair Dental College & Hospital, Dr Anandrao Nair Marg, Mumbai Central, Mumbai, Maharashtra, 400008, IndiaDepartment of Oral & Maxillofacial Surgery, Nair Dental College & Hospital, IndiaDepartment of Oral & Maxillofacial Surgery, Nair Dental College & Hospital, India; The Center For Oral, Maxillofacial and Facial Plastic Surgery, Mumbai; Corresponding author.Department of Oral & Maxillofacial Surgery, Nair Dental College & Hospital, IndiaDepartment of Oral & Maxillofacial Surgery, Nair Dental College & Hospital, IndiaDepartment of Oral & Maxillofacial Surgery, Nair Dental College & Hospital, IndiaTemporomandibular joint ankylosis (TMJa) is one of the most crippling craniomaxillofacial pathological conditions characterized by replacement of normal architecture of temporomandibular joint (TMJ) with fibrous or bony tissue. The incidence of TMJa is most common in the paediatric population [first and second decades of life] and is commonly associated with maxillofacial trauma. Comprehensive management entails a thorough evaluation of the associated anatomy of the ankylotic mass and other pertinent details like the presence or absence of obstructive sleep apnoea. Categorizing patients based on these variables helps in selecting an appropriate surgical intervention. Various resective and reconstructive surgical techniques are discussed; along with their merits and demerits. Long-term physiotherapy, long-term clinical follow-up and appropriate family counselling are the essential pillars for success. In this review, the authors present an algorithmic approach to evaluation and management of paediatric TMJa. Appropriate recommendations are made based on evidence to select optimum surgical intervention.http://www.sciencedirect.com/science/article/pii/S2212426823000064PaediatricTMJTemporomandibular jointAnkylosisArthroplasty |
| spellingShingle | Neelam Noel Andrade Prathmesh Kapoor Paul Mathai Varsha Gupta V.K. Lakshmi Shelly Sharma Management of paediatric ankylosis Journal of Oral Biology and Craniofacial Research Paediatric TMJ Temporomandibular joint Ankylosis Arthroplasty |
| title | Management of paediatric ankylosis |
| title_full | Management of paediatric ankylosis |
| title_fullStr | Management of paediatric ankylosis |
| title_full_unstemmed | Management of paediatric ankylosis |
| title_short | Management of paediatric ankylosis |
| title_sort | management of paediatric ankylosis |
| topic | Paediatric TMJ Temporomandibular joint Ankylosis Arthroplasty |
| url | http://www.sciencedirect.com/science/article/pii/S2212426823000064 |
| work_keys_str_mv | AT neelamnoelandrade managementofpaediatricankylosis AT prathmeshkapoor managementofpaediatricankylosis AT paulmathai managementofpaediatricankylosis AT varshagupta managementofpaediatricankylosis AT vklakshmi managementofpaediatricankylosis AT shellysharma managementofpaediatricankylosis |