Bilateral or Unilateral Deficient Ramus-condyle Unit
Conditions
Brief summary
this study was done to evaluate the use of transport distraction osteogenesis in restoring the deficient condyle/ramus unit of patients with unilateral or bilateral TMJ ankylosis to correct the resultant deformity
Detailed description
10 patients with post ankylosis deficient ramus /condyle unit who underwent release procedure in the Maxillofacial and Plastic Surgery Department, Faculty of Dentistry, Alexandria University, Egypt. all patients were assessed clinically and by imaging using OPG, lateral and PA cephalometry, and cone beam CT to assess the deficient ramus/condyle unit (RCU) then patients were operated using transport distraction osteogenesis to lengthen the RCU. Then follow up of all patients both clinically and radiographically was adopted.
Interventions
transport distraction osteogenesis in restoring the deficient condyle/ramus unit of patients with TMJ ankylosis to correct the resultant deformity either unilaterally or bilaterally.
Sponsors
Study design
Eligibility
Inclusion criteria
* Post ankylosis deformity: Bilateral or unilateral deficient ramus-condyle unit (RCU) after TMJ release
Exclusion criteria
* Mentally affected patients. * Medically compromised patients. * Post menopausal osteoporosis.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Jaw movements (changes in jaw movements through 18 months follow up) | at 3rd, 6th and 18th months | Mouth opening in mm, Jaw movement in lateral excursion and opening. |
| Ramus height (changes of ramus heights through 18 months follow up) | at 3rd and 6th months | Determination of the height of the ramus by PA cephalometric, Lateral cephalometric x-rays and tracings |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Occlusal discrepancy or anterior open bite | 18th months | Occlusal discrepancy or anterior open bite |
Countries
Egypt