TMJ Ankylosis Management: Our Experience

  • Satyapriya Shivakotee
  • Col Suresh MenonEmail author
  • M. E. Sham
  • Veerendra Kumar
  • S. Archana
Original Article



Temporomandibular joint (TMJ) ankylosis is an extremely disabling affliction that causes problems in mastication, digestion, speech, appearance and hygiene. Surgery of TMJ ankylosis needs careful evaluation and planning to yield predictable results. Temporomandibular joint ankylosis is very common among young children. The aim of treatment is not only to treat the movement of the joint but also to prevent relapse.

Materials and Method

In this series, 18 cases of temporomandibular joint ankylosis were treated at our institute from January 2012 to January 2017 with osteoarthrectomy and interpositional arthroplasty. Patients were in the age range of 5–57 years, with 11 males and 7 females and including 8 unilateral and 10 bilateral cases. Duration of ankylosis ranged from less than 2 years to more than 6 years. Seven of the patients were secondarily taken up for correction of their deformities with either orthognathic surgery or distraction osteogenesis.


Good mouth opening was achieved in all the patients with a mean follow-up period of 12 months. The early post-operative mouth opening ranged from 24 to 37 mm. The late post-operative mouth opening ranged from 20 to 33 mm. There was a stress on aggressive physiotherapy for a minimum of 6 months in all our patients.


Interpositional arthroplasty using vascularized temporalis fascia flap is a very reliable method to prevent recurrence of ankylosis, and it also avoids the disadvantages of alloplastic materials as well as nonvascularized autogenous tissues.


Temporomandibular joint ankylosis Temporalis fascia flap Interpositional arthroplasty 




Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.


  1. 1.
    Kazanjian Varaztad H (1955) Temporomandibular joint ankylosis with mandibular retrusion. Am J Surg 90(6):905–910CrossRefGoogle Scholar
  2. 2.
    He D, Yang C, Chen M, Zhang X, Qiu Y, Yang X, Li L, Fang B (2011) Traumatic temporomandibular joint ankylosis: our classification and treatment experience. J Oral Maxillofac Surg 69(6):1600–1607CrossRefGoogle Scholar
  3. 3.
    Bortoluzzi Marcelo Carlos, Sheffer MAR (2009) Treatment of temporomandibular joint ankylosis with gap arthroplasty and temporal muscle/fascia graft: a case report with five-year follow-up. Rev Odonto Cienc 24(3):315–318Google Scholar
  4. 4.
    Guven O (2008) A clinical study on temporomandibular joint ankylosis in children. J Cranio facial Surg 19(5):1263–1269CrossRefGoogle Scholar
  5. 5.
    Karamese M, Duymaz A, Seyhan N, Keskin M, Tosun Z (2013) Management of temporomandibular joint ankylosis with temporalis fascia flap and fat graft. J Cranio Maxillo Fac Surg 41:789–793CrossRefGoogle Scholar
  6. 6.
    Bodra P, Sundi A (2017) Interposition arthroplasty using temporal fascia flap for temporomandibular joint ankylosis. Int J Contemp Med Res 4:2454–7379Google Scholar
  7. 7.
    Laskin DM (1978) Role of the meniscus in the etiology of posttraumatic temporomandibular joint ankylosis. Int J Oral Surg 7:340CrossRefGoogle Scholar
  8. 8.
    Kaban LB, Perrott DH, Fisher K (1990) A protocol for management of temporomandibular joint ankylosis. J Oral Maxillofac Surg 48(11):1145–1151CrossRefGoogle Scholar
  9. 9.
    Rajgopal A, Banerjee PK, Baluria V, Sural A (1983) Temporomandibular joint ankylosis: a report of 15 cases. J Cranio Maxillofac Surg 11:37CrossRefGoogle Scholar
  10. 10.
    Moriconi ES, Popowich LD, Guernsey LH (1986) Alloplastic reconstruction of the temporomandibular joint. Dent Clin North Am 30(2):307–325PubMedGoogle Scholar
  11. 11.
    Abul-Hassan S, Hussain Grace Von, Dras Ascher AMI, Robert D, Acland MD (1986) Surgical anatomy and blood supply of the fascial layers of the temporal region. Plast Reconstr Surg 77:17–28PubMedGoogle Scholar
  12. 12.
    Mercuri LG (2015) Temporomandibular joint total joint replacement: TMJ TJR—a comprehensive reference for researchers, material scientists and surgeons. Springer, New YorkGoogle Scholar
  13. 13.
    Andrade NN, Kalra R, Shetye SP (2012) New protocol to prevent TMJ reankylosis and potentially life threatening complications in triad patients. Int J Oral Maxillofac Surg 41:1495–1500CrossRefGoogle Scholar
  14. 14.
    Rao K, Kumar S, Kumar V, Singh AK, Bhatnagar SK (2004) The role of simultaneous gap arthroplasty and distraction osteogenesis in the management of temporo-mandibular joint ankylosis with mandibular deformity in children. J Cranio Maxillofac Surg 32:38–42CrossRefGoogle Scholar

Copyright information

© The Association of Oral and Maxillofacial Surgeons of India 2019

Authors and Affiliations

  1. 1.GangtokIndia
  2. 2.Oral and Maxillofacial SurgeryVydehi Institute of Dental SciencesBangaloreIndia

Personalised recommendations