Surgical correction of facial asymmetry without bone grafting for unilateral temporomandibular joint ankylosis

Titiz S., Aras A., Gözlüklü Ö.

Oral and Maxillofacial Surgery Cases, cilt.5, sa.1, 2019 (Scopus) identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 5 Sayı: 1
  • Basım Tarihi: 2019
  • Doi Numarası: 10.1016/j.omsc.2018.100090
  • Dergi Adı: Oral and Maxillofacial Surgery Cases
  • Derginin Tarandığı İndeksler: Scopus
  • Anahtar Kelimeler: Bone graft, Facial asymmetry, Temporomandibular joint ankylosis
  • Uşak Üniversitesi Adresli: Evet

Özet

This case report evaluated the clinical value, therapeutic effectiveness, and stability of a bilateral sagittal split osteotomy of the rami (BSSRO) and genioplasty, without temporomandibular joint (TMJ) bone grafting, for the treatment of mandibular asymmetry and deviation in patients with unilateral TMJ ankylosis. A 2-stage procedure was planned, with an initial release of the TMJ, using a gap arthroplasty, followed by orthognatic treatment for the maxillofacial deformities. This orthognathic surgical approach is suitable for patients who only need a slight mandibular advancement, without a vertical height increase. In this case, acceptable occlusion and facial esthetics were obtained, with results being stable over a 4-year postoperative follow-up.