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Journal of Maxillofacial and Oral Surgery

Erschienen in:

10.03.2023 | REVIEW PAPER

Effectiveness of Dermis Fat Graft Versus Temporalis Myofascial Flap for Interposition in Temporomandibular Joint Ankylosis: A Systematic Review

verfasst von: Sanjay S. Joshi, Sachin P. Bagade, Priyanka N. Gotmare, Aarti R. Garad, Arsalan S. Ansari

Erschienen in: Journal of Maxillofacial and Oral Surgery | Ausgabe 2/2023

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Abstract

Background

Temporomandibular joint ankylosis is a disabling condition which affects joint movements causing difficulty in speech, mastication and hygiene. Over time various interposition materials like meniscus, muscle, fascia, skin, cartilage, fat, dura and alloplastic materials have been used for the treatment of ankylosis and improve joint functions.

Objective

The objective of this systematic review is to evaluate the effectiveness of dermis fat graft and temporalis myofascial flap as an interpositional material in treatment of temporomandibular joint ankylosis and to compare the effectiveness of the two materials.

Materials and Methods

PubMed, Google scholar, and Cochrane library search in combination with hand search of relevant journals were conducted published in English from January 2000 to August 2021. Randomized controlled trials, prospective and retrospective cohort studies were included. Outcome measure included improvement in mouth opening. Risk of bias assessment was assessed using Cochrane risk of bias tool and Newcastle–Ottawa scale.

Results

A total of 144 articles were found from the primary search which on thorough assessment, duplicate and exclusion removal resulted in 9 cohort studies and 1 randomized controlled trial that fulfilled the inclusion criteria. All the studies included reported significant improvement in mouth opening after interposition of the 2 materials. Four studies compared temporalis myofascial flap with dermis fat graft, 2 studies reported dermis fat graft gives better outcomes, whereas 1 study reported temporalis myofascial flap to be better and 1 study has been inconclusive.

Conclusion

Definitive conclusions cannot be drawn as there are number of limitations in the studies included. However a general consensus has been toward dermis fat graft owing to fewer complications.

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Titel: Effectiveness of Dermis Fat Graft Versus Temporalis Myofascial Flap for Interposition in Temporomandibular Joint Ankylosis: A Systematic Review
verfasst von: Sanjay S. Joshi
Sachin P. Bagade
Priyanka N. Gotmare
Aarti R. Garad
Arsalan S. Ansari
Publikationsdatum: 10.03.2023
Verlag: Springer India
Erschienen in: Journal of Maxillofacial and Oral Surgery / Ausgabe 2/2023
Print ISSN: 0972-8279
Elektronische ISSN: 0974-942X
DOI: https://doi.org/10.1007/s12663-023-01869-9

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Effectiveness of Dermis Fat Graft Versus Temporalis Myofascial Flap for Interposition in Temporomandibular Joint Ankylosis: A Systematic Review

Abstract

Background

Objective

Materials and Methods

Results

Conclusion

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Abstract

Background

Objective

Materials and Methods

Results

Conclusion

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