Management of temporomandibular joint (TMJ) ankylosis is mainly through surgical intervention. Interpositional materials are a necessity when it comes to prevention of TMJ re-ankylosis after arthroplasty. Early aggressive postoperative physiotherapy is essential for the prevention or treatment of TMJ hypomobility or ankyloses. Recently, it has been shown that abdominal dermis fat helps promote smooth, pain-free joint function and it is stable after interposition and less prone to fragmentation. The purpose of this study was to assess that whether dermal fat is a good choice of interpositional material when it comes to decreased pain perception during aggressive physiotherapy after release of ankyloses thus ensuring good compliance by the patient. We also assessed the fate of the graft material on computed tomography to evaluate any volume changes if occurred after interposition.
LongXLiXChengY, et al.Preservation of disc for treatment of traumatic temporomandibular joint ankylosis. J Oral Maxillofac Surg. 2005;63(7):897–902.
2.
BuchbinderDCurrivanRBKaplanAJUrkenML. Mobilization regimens for the prevention of jaw hypomobility in the radiated patient: a comparison of three techniques. J Oral Maxillofac Surg. 1993;51(8):863–867.
3.
KhalifaGA. Monitoring of incremental changes in maximum interincisal opening after gap arthroplasty omits the risk of re-ankylosis. J Craniomaxillofac Surg. 2018;46(1):75–81.
4.
ChuongRPiperMA. Cerebrospinal fluid leak associated with proplast implant removal from the temporomandibular joint. Oral Surg Oral Med Oral Pathol. 1992;74(4):422–425.
5.
RisdonF. Ankylosis of the temporo-mandibular joint. J Am Dent Assoc. 1934;21:1933.
6.
DolwickMFAufdemorteTB. Silicone induced foreign body reaction and lymphadenopathy after temporomandibular joint arthroplasty. Oral Surg Oral Med Oral Pathol. 1985;59(5):449–452.
7.
IoannidesCFreihoferHPM. Replacement of the damaged inter-articular disc of the TMJ. J Craniomandib Pract. 1988;16(6):273–278.
8.
MatukasVJLachnerJ.The use of autologous auricular cartilage for temporomandibular joint disc replacement: a preliminary report. J Oral Maxillofac Surg. 1990;48(4):348–353.
9.
SandlerNAMacMillanCBuckleyMJBarnesL. Histological and histochemical changes in failed auricular cartilage grafts used for a temporomandibular joint disc replacement. J Oral Maxillofac Surg. 1997;55(9):1014–1019.
10.
TakatsukaSNarinobouMNakagawaKYamamotoE. Histological evaluation of auricular cartilage grafts after discectomy in the rabbit craniomandibular joint. J Oral Maxillofac Surg. 1996;54(10):1216–1225.
11.
YihW-YZyssetMMerrillRG. Histopathological study of fate of autogenous auricular cartilage grafts in the human temporomandibular joint. J Oral Maxillofac Surg1992;50:964–967.
12.
StewartHMHannJRDeTomasiDCNevilleBWDeChamplainRW. Histological fate of dermal grafts following implantation for temporomandibular joint meniscal perforation: a preliminary study. Oral Surg Oral Med Oral Pathol. 1986;62(5):481–485.
13.
MutoTTomiokaKMichiyaHKanazawaM. Epidermoid cyst in the temporomandibular joint after dermal graft. J Craniomaxillofac Surg. 1992;20(6):270–272.
14.
DimitroulisG. The use of dermis grafts after discectomy for internal derangement of the temporomandibular joint. J Oral Maxillofac Surg. 2005;63(2):173–178.
15.
PopescuVVasiliuD. Treatment of temporomandibular ankyloses with particular reference to the interposition of full thickness skin autotransplant. J Maxillofac Surg. 1977;5(1):3–14.
16.
ChossegrosCGuyotLCheynetFBlancJLCannoniP. Full-thickness skin graft interposition after temporomandibular joint ankylosis surgery: a study of 31 cases. Int J Oral Maxillofac Surg. 1999;28(5):330–334.
17.
DimitroulisGSlavinJ. Histological evaluation of full thickness skin as an interpositional graft in the rabbit craniomandibular joint. J Oral Maxillofac Surg. 2006;4:1075–1080.
18.
OmuraSFujitaK. Modification of the temporalis muscle and fascia flap for the management of ankylosis of the temporomandibular joint. J Oral Maxillofac Surg. 1996;54(6):794–795.
19.
PogrelMAKabanLB. The role of a temporalis fascia and muscle flap in temporomandibular joint surgery. J Oral Maxillofac Surg. 1990;48(1):14–19.
20.
FeinbergSELarsenPE. The use of a pedicled temporalis muscle-pericranial flap for replacement of the TMJ disc: preliminary report. J Oral Maxillofac Surg. 1989;47(2):142–146.
21.
Van AkkerveekenPFVan Der KraanWMullerJW. The fate of the free fat graft: a prospective clinical study using CT scanning. Spine. 1986;11(5):501–504.
22.
AagenskioldAKiviluotoO. Prevention of epidural scar formation after operations on the lumbar spine by means of free fat transplants: a preliminary report. Clin Orthop Relat Res. 1976;115:92–95.
23.
BillingsEMayJW. Historical review and present status of free fat graft autotransplantation in plastic and reconstructive surgery. Plast Reconstr Surg. 1989;83(2):368–381.
24.
LexerE. Zwanzig jahre transplantations furschung in der chirurgie. Langenbecks Arch Klin Chir. 1925;138:297–302.
25.
DimitroulisG. The interpositional dermis-fat graft in the management of temporomandibular joint ankylosis. Int J Oral Maxillofac Surg. 2004;33(8):755–760.
26.
DimitroulisGMcCulloughMMorrisonW. Quality of life survey of patients prior to and following temporomandibular joint discectomy. J Oral Maxillofac Surg. 2010;68(1):101–106.
