Abstract
Background: Temporo-mandibular joint ankyloses shows acute functional impairment and dis-figurement.
Objective: To contrast with the efficacy and safety of gap arthroplasty, inter-position arthroplasty, and cost chondral joint remaking over a period of 6 years.
Methods: thirty-five sequentially treated patients were introspective studied. Main terminus were post-surgical mouthopening, reversion, complications, and participantreported satisfaction.
Results: Mean of itself distance improved from 6.9 mm presurgical to 31.8 mm round about. IA achieved the greatest gain such a mean value of 36 mm and the lowest recurrence as 9%. GA recurred in 35 % of cases, principally in children <14 years. CCG combined good function in mean value of 33 mm with zero reversion but required a second surgical field. Transient facialnerve weakness occurred in two patients; no longterm morbidity was recorded.
Conclusion: IA with temporalis fascia or dermal fat contains the procedure of choice when practicable. CCG is selected in growing patients or when large defects exist. Early, structured physiotherapy is essential to preserve surgical gains.
Keywords: temporalis fascia, physiotherapy, temporomandibular