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Title

Evaluation of temporal fascia and dermal fat graft for temporomandibular joint ankylosis

 

Authors

Salini Kumari Dash1,*, Sushil Kumar Sahoo1, Arup Ratan Das1, Rahul Shrivastava2, Tonmoy Ranu1 & Manisha Mohanty3

 

Affiliation

1Department of Oral and Maxillofacial Surgery, Hi-Tech Dental College and Hospital, Bhubaneswar, Odisha, India; 2Private Practitioner, Revti Dental Clinic, Indore, M.P, India; 3Private Dental Practitioner, Bhubaneswar, Odisha, India; *Corresponding author

 

Email

Salini Kumari Dash - E - mail: salinikumaridash@gmail.com

Sushil Kumar Sahoo - E - mail: doc_sksahoo@yahoo.com

Arup Ratan Das - E - mail: arupratan95@gmail.com

Rahul Shrivastava - E - mail: drrahulshri@gmail.com

Tonmoy Ranu - E - mail: tanmoyranu07@gmail.com

Manisha Mohanty - E - mail: Manishamohanty2808@gmail.com

 

Article Type

Research Article

 

Date

Received September 1, 2024; Revised September 30, 2024; Accepted September 30, 2024, Published September 30, 2024

 

Abstract

The crippling disorder known as temporomandibular joint (TMJ) ankylosis is caused by the fusing of the mandibular condyle to the base of the skull, which results in limited mouth opening and severe functional impairment. In order to stop re-ankylosis, surgical care is essential, and several interpositional materials have been tried. The therapy of TMJ ankylosis is compared in this research between dermal fat grafts and temporal fascia. Thirty patients with TMJ ankylosis in total were split into two groups at random. A temporal fascia graft was administered to Group A (n = 15), while a dermal fat transplant was administered to Group B (n = 15). The three main outcomes that were evaluated were the incidence of re-ankylosis, pain thresholds, and postoperative mouth opening. A Vernier caliper was used to measure the mouth openness, and the Visual Analog Scale (VAS) was used to gauge discomfort. One, three, and six months after surgery were the follow-up times. According to the research, dermal fat grafts may be a better option for treating TMJ ankylosis than temporal fascia grafts since them result in improved postoperative mouth opening, less discomfort, and a decreased chance of re-ankylosis. Both materials work well, however, and the patient's specific circumstances may influence the graft selection.

 

Keywords

TMJ ankylosis, temporal fascia graft, dermal fat graft, interpositional material, mandibular mobility & postoperative pain.

 

Citation

Dash et al. Bioinformation 20(9): 1120-1124 (2024)

 

Edited by

Vini Mehta

 

ISSN

0973-2063

 

Publisher

Biomedical Informatics

 

License

This is an Open Access article which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. This is distributed under the terms of the Creative Commons Attribution License.