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논문 기본 정보

자료유형
학술저널
저자정보
Jung-Won Cho (Ewha Womans University Medical) 박정현 (Ewha Womans University Medical) 김진우 (이화여자대학교) 김선종 (이화여자대학교)
저널정보
대한악안면성형재건외과학회 Maxillofacial Plastic Reconstructive Surgery Maxillofacial Plastic Reconstructive Surgery 제38권 제10호
발행연도
2016.10
수록면
1 - 6 (6page)
DOI
10.1186/s40902-016-0083-z

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초록· 키워드

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Background: Temporomandibular joint (TMJ) ankylosis in children often leads to facial deformity, functional deficit,and negative influence of the psychosocial development, which worsens with growth. The treatment of TMJankylosis in the pediatric patient is much more challenging than in adults because of a high incidence ofrecurrence and unfavorable growth of the mandible. Case report: This is a case report describing sequential management of the left TMJ ankylosis resulted fromtrauma in early childhood. The multiple surgeries including a costochondral graft and gap arthroplasty usinginterpositional silicone block were performed, but re-ankylosis of the TMJ occurred after surgery. AlloplasticTMJ prosthesis was conducted to prevent another ankylosis, and signs or symptoms of re-ankylosis were notfound. Additional reconstruction surgery was performed to compensate mandibular growth after confirminggrowth completion. During the first 3 years of long-term follow-up, satisfactory functional and esthetic results wereobserved. Conclusions: This is to review the sequential management for the recurrent TMJ ankylosis in a growing child. Eventhough proper healing was expected after reconstruction of the left TMJ with costal cartilage graft, additional surgicalinterventions, including interpositional arthroplasty, were performed due to re-ankylosis of the affected site. In this case,alloplastic prosthesis could be an option to prevent TMJ re-ankylosis for growing pediatric patients with TMJ ankylosisin the beginning

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