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KCI 후보
악관절 강직증의 치험례
The Cases Report of Ankylosis
이희원(Hee Won Lee),현영옥(Young Ok Hyun),강창희(Chang Hee Kang),노양호(Yang Ho Noh),천영두(Young Doo Chun),김신헌(Shin Hun Kim)
UCI I410-ECN-0102-2009-510-004058863

Temporomandibular ankylosis is defined as a situation in which the condyle is fused to the fossa by bone or fibrous tissue. Conditions such as trauma, infection, or systemic disease may predispose to various types of ankylosis, bringing about different levels of limitation in mandibular movement. Most patients with temporomandibular ankylosis are associated with limitation of maximal mouth opening, deviation of the chin toward the affected side, Impaired occlusion, chronic pain, compromised oral hygiene, severe facial asymmetry & impeded mandibular molar eruption occurring in childhood. Several techniques to release ankylosis have been described in the literature, showing variable and often unsatisfactory results. The most frequently used operations are gap arthroplasty, interpositional arthroplasty, and excision and joint reconstruction with autogenous or alloplastic materials. We have managed the two patients of TMJ ankylosis. They had previously TMJ surgery and we treated with gap arthroplasty & active physical therapy. We have obtained favorable results and report these cases with literatures review.

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