2021, Number 3
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Acta de Otorrinolaringología CCC 2021; 49 (3)
Temporo mandibular joint ankylosis surgery in pediatric patients
Oré-Acevedo JF, La Torre CL, Urteaga QR
Language: Spanish
References: 36
Page: 199-206
PDF size: 282.68 Kb.
ABSTRACT
Introduction: Temporomandibular ankylosis limits the mandibular function, decreasing
the buccal opening, with aesthetic alterations as well as chewing language
and even respiratory disfunction.
Objective: To describe the patients clinical paticularities
and evaluate the surgical treatment results for this pathology. Design:
Observacional, descriptive and retrospective study.
Methods: We reviewed the medical
histories and images of all the patients who underwent temporomandibular
ankylosis release from January 2008 to December 2016.
Results: It involved 44
cases, being the main etiology injuries in a 70.5%, with predominance of the female
sex in the 77.3% and the unilateral presentation with the 70.5% of the cases. Ages
between 6 to 10 years were the most frequent ones with 47.7%. The surgery most
performed was the condilectomia with coronoidectomy in 79.5% of the cases. The
most frequent complication was the palpebral branch paralysis in 13.7% and we
had a 6% of ankylosis recurrence.
Discussion: Our results are similar to other publications
when reproducing the worldwide protocolized treatment, without finding
significant differences in terms of etiology, age of presentation, treatment carried out
and complications.
Conclusions: Temporomandibular ankylosis is a condition that
requires surgical treatment, which is aimed to anatomical and functional restoration.
Wide bone resection complemented with other surgical techniques such as flap
interposition to minimize the relapse possibility and bone distraction to restore the
mandibular anatomy.
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