Efektivitas Pemakaian Mersilene Mesh pada Prosedur Interpositionalarthroplasty Temporomandibular Joint Ankylosis (Laporan Kasus Serial)
Introduction: Temporomandibular joint (TMJ) ankylosis is one of the most common TMJ disorders encountered in the patients caused by trauma. Management of the TMJ ankylosis is mainly by surgical intervention but still leaving a considerable challenge because of the high recurrence rate. Various me...
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Summary: | Introduction: Temporomandibular joint (TMJ) ankylosis is one of the most
common TMJ disorders encountered in the patients caused by trauma. Management
of the TMJ ankylosis is mainly by surgical intervention but still leaving a
considerable challenge because of the high recurrence rate. Various methods are
available for surgical correction. Gap arthroplasty without interpositional material
has gradually been abandoned due to the high risk of recurrence. The temporal is
myofascial flap is the most frequently used mate~ however, presents some
problems such as donor site morbidity, chronic cephalgia, and trismus. A variety of
interposition materials have been used to prevent recurrence after arthroplasty
procedure. The aim of this study is to review the efficacy of mersilene mesh
interpositional arthroplasty in the management ofTMJ bony ankylosis.
Materials and Methods: A retrospective study carried out on 4 patients of TMJ
ankylosis. All patients had the complaint of inability to open the mouth following
trauma. Diagnosis was based on clinical assessment, OPG views and CT scan. All
patients were treated through mersilene mesh interpositional arthroplasty procedure
at Universitas AirJangga Hospital and Dr. Soetomo General Hospital Indonesia
from January 2016 to April 2019 and evaluated with a follow-up of6 months to 1
year for the functional stability of1M1.
Results: The mean age of the patients was 26 years and the mean duration of
ankylosis was 41 months. The average of preoperative mouth opening was 7.5 mm.
The patients have achieved inter-incisal opening of 30-40 nun and were no
complications for 6 months to 1 year postoperatively.
Conclusions: Mersilene mesh interpositional arthroplasty is a very reliable surgical
management of 1M1 bony ankylosis to gain maximum mouth opening and to
prevent recurrences. Comprehensive rehabilitation is required to prevent recurrence
of ankylosis. |
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