| Abstrak/Abstract |
Introduction: Temporomandibular Joint (TMJ) reankylosis is one of TMJ arthroplasty complications that can
interfere masticatory function and aesthetics. This case report aimed to describe a TMJ reankylosis in growing
age patient that occurred 5 years after interpositional arthroplasty using gold foil. Interpositional arthroplasty
using temporalis fascia and costochondral graft followed by unilateral coronoidectomy could be a treatment
option.
Case presentation: A 17-year-old female came with inability to open her mouth 5 years after first interpositional
arthroplasty using gold foil due to traumatic TMJ ankylosis. Patient was diagnosed type IV left TMJ reankylosis
with left coronoid process hyperplasia. Patient was treated with interpositional arthroplasty using temporalis
fascia as an interposition material for articular disc substitution, costochondral graft for ramus condyle unit
(RCU) reconstruction and followed by unilateral coronoidectomy. Postoperative mouth opening was ±26 mm.
One year evaluation showed stable mouth opening and no recurrency occured.
Discussion: Age at growing period, insufficient gap width, surgical technique and the effects of previous surgery
may generate TMJ reankylosis. Temporalis fascia widely used for interposision material and act as a lubricant
that makes movement frictionless. Costochondral graft can be used for RCU reconstruction to prevent decreasing
mandibular ramus height and openbite.
Conclusion: Growing age increases the risk of TMJ reankylosis. Interpositional arthroplasty, which used temporalis fascia and a costochondral graft, has resulted in a sufficient mouth opening and an improvement in
masticatory function. Recurrence was not found in the 1-year postoperative evaluation. |
