Riaz Ahmad Warraich, Saeed Ashraf Cheema.
Temporomandibular Joint Ankylosis - A Preventable Entity?.
Ann King Edward Med Uni Jan ;7(3):168-9.
This is a prospective study, which includes 51 patients who were operated at The Department of Oral and Maxillofacial Surgery, Mayo Hospital Lahore, during last two years. Although this entity has multiple etiologies, it was post traumatic in majority of the cases in our study. We also conclude that proper posttraumatic rehabilitation may reduce the incidence. A total of 51 cases presented with TMJ ankylosis during two years, which included 21 (45.1%) males and 28 (54.9%) females. Majority of the cases (27 i.e. 53%) belonged to 10-20 years of age. In was very interesting to note that in unilateral cases, left side involvement was more common in males while in females it was right side, which was more frequently involved. Out of 23 male cases, 5(21.7%) cases presented with right-sided involvement while 9(39.1%) cases had involvement of left side. Among females, out of 28 cases, 13 (46.4%) cases had rightsided involvement and only 3(11%) cases showed left-sided involvement. In this series, bilateral involvement of the TMJ was found in 21(41.2%) casts. In this series, ankylosis was posttraumatic in 36 (70.6%) casts, result of birth trauma in 5(9,8%) cases and in other 6(11.7%) cases it was post infective. In 4(7.8%) of the cases no definite cause was noted and the entity was considered secondary to some missed trauma. Fall from height was the most common mode of injury i.e.; a total of 19 cases (37.3%) had history of fall either from roof, ladder or bed. A total of 17 cases (33.33%) presented with history of road traffic accidents. A total of 5 cases under went surgical procedures for the entity in the past while three of the cases, which were operated in the department, presented with recurrence.
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