Clinico-statistical study of temporomandibular joint ankylosis Etiology and onset age

In our department, we performed 288 arthroplasties on 236 TMJ ankylosis patients from 1934 to 1987. We investigated the inpatient and outpatient chart, the operation record, and the X-ray film for each patient in order to determine the etiology, onset age, and interpositional materials, as well as t...

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Published inJournal of the Japanese Society for the Temporomandibular Joint Vol. 6; no. 2; pp. 346 - 359
Main Authors KINO, Koji, OHMURA, Yoshiaki, IZUMI, Yukou, WAKE, Hiroyuki, SHIBUYA, Tomoaki, AMAGASA, Teruo
Format Journal Article
LanguageJapanese
Published The Japanese Society for Temporomandibular Joint 20.09.1994
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Online AccessGet full text
ISSN0915-3004
1884-4308
DOI10.11246/gakukansetsu1989.6.346

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Abstract In our department, we performed 288 arthroplasties on 236 TMJ ankylosis patients from 1934 to 1987. We investigated the inpatient and outpatient chart, the operation record, and the X-ray film for each patient in order to determine the etiology, onset age, and interpositional materials, as well as the prognosis, complication, sequela and so on. In this paper, we report and discuss the etiology and the onset age. 1. The number of operations has decreased since 1963. The reasons for this decrease may be the development of chemotherapy which reduces inflammation and also the fact that TMJ trauma is now found early due to advances in imaging techniques. Another reason may be the increase in the number of hospitals undertaking TMJ arthroplasty. 2. Inflammation was the most common cause (119 patients; 50.4%), followed by trauma (73 patients; 30.9%). Ten cases were regarded as congenital (4.2%). Recently the rate of trauma has been the predominant cause. 3. Concerning local inflammation, osteomyelitis was the most common (35 patients; 43.2%), followed by otitis media (32 patients; 39.5%), and parotiditis (9 patients; 11.1%). 4. Polyarthritis was most common (12 patients; 31.6%), followed by febrile disease (7 patients; 22.5%), and pneumonia (6 patients; 18.4%) as for systemic inflammation. 5. As for the types of trauna, fall was the most common (40 patients; 54.8%), followed by traffic accidents (20 patients; 27.4%). Forceps delivery was found in 6 patients (8.2%). Also two cases occurred after TMJ discetomy. 6. The age range of TMJ ankylosis patients was from congenital to 65 years old. The number of patients whose onset age was from 0 to 5 years old was the biggest (129 patients; 54.7%), followed by 6-10 years old (58 patients; 24.6%). Among all the TMJ ankylosis patients, 187 patients (79.2%) were under 10 years of age when injured.
AbstractList In our department, we performed 288 arthroplasties on 236 TMJ ankylosis patients from 1934 to 1987. We investigated the inpatient and outpatient chart, the operation record, and the X-ray film for each patient in order to determine the etiology, onset age, and interpositional materials, as well as the prognosis, complication, sequela and so on. In this paper, we report and discuss the etiology and the onset age. 1. The number of operations has decreased since 1963. The reasons for this decrease may be the development of chemotherapy which reduces inflammation and also the fact that TMJ trauma is now found early due to advances in imaging techniques. Another reason may be the increase in the number of hospitals undertaking TMJ arthroplasty. 2. Inflammation was the most common cause (119 patients; 50.4%), followed by trauma (73 patients; 30.9%). Ten cases were regarded as congenital (4.2%). Recently the rate of trauma has been the predominant cause. 3. Concerning local inflammation, osteomyelitis was the most common (35 patients; 43.2%), followed by otitis media (32 patients; 39.5%), and parotiditis (9 patients; 11.1%). 4. Polyarthritis was most common (12 patients; 31.6%), followed by febrile disease (7 patients; 22.5%), and pneumonia (6 patients; 18.4%) as for systemic inflammation. 5. As for the types of trauna, fall was the most common (40 patients; 54.8%), followed by traffic accidents (20 patients; 27.4%). Forceps delivery was found in 6 patients (8.2%). Also two cases occurred after TMJ discetomy. 6. The age range of TMJ ankylosis patients was from congenital to 65 years old. The number of patients whose onset age was from 0 to 5 years old was the biggest (129 patients; 54.7%), followed by 6-10 years old (58 patients; 24.6%). Among all the TMJ ankylosis patients, 187 patients (79.2%) were under 10 years of age when injured.
Author WAKE, Hiroyuki
AMAGASA, Teruo
SHIBUYA, Tomoaki
KINO, Koji
IZUMI, Yukou
OHMURA, Yoshiaki
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  organization: First Department of Oral and Maxillofacial Surgery. Faculty of Dentistry. Tokyo Medical and Dental University
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  fullname: OHMURA, Yoshiaki
  organization: First Department of Oral and Maxillofacial Surgery. Faculty of Dentistry. Tokyo Medical and Dental University
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  fullname: IZUMI, Yukou
  organization: Department of Oral and Maxillofacial Surgery. Tama Nanbu Regional Hospital
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  fullname: WAKE, Hiroyuki
  organization: First Department of Oral and Maxillofacial Surgery. Faculty of Dentistry. Tokyo Medical and Dental University
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  fullname: SHIBUYA, Tomoaki
  organization: First Department of Oral and Maxillofacial Surgery. Faculty of Dentistry. Tokyo Medical and Dental University
– sequence: 1
  fullname: AMAGASA, Teruo
  organization: First Department of Oral and Maxillofacial Surgery. Faculty of Dentistry. Tokyo Medical and Dental University
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References_xml – reference: 7) Warson, R. W.: Pseudoankylosis of the mandible after a fracture of the zygomaticomaxillary complex: report of case. J Oral Surg 29: 223-224, 1971.
– reference: 3) Khosla, V. M.: Pseudoankylosis of mandible produced by temporal muscle fibrosis: report of case. J Oral Surg 28: 521-522, 1970.
– reference: 60) Thoma, K. H.,: Oral Surgery II. 2nd Ed, Mosby Co, St Louis, 1952, p. 880.
– reference: 58) Dingman, R. O.: Ankylosis of the temporomandibular joint. Am J Orthod 32: 120-125, 1948.
– reference: 43) Kurita, K., Bronstein, S. L. et al: Arthroscopic diagnosis of perforation and adhesions of the temporomandibular joint: Correlation with postmortem morphology. Oral Surg 68: 130-134, 1989.
– reference: 1) 岡 達: 顎関節の疾患 (4). 歯界展望 16: 164-170, 1959.
– reference: 13) 上野 正, 岡 達, 他: 顎関節強直症およびそれに由来する小下顎症について (104症例の分析). 形成外科 4: 73-74, 1961.
– reference: 26) 坂元晴彦, 朝倉昭人, 他: 両側顎関節授動術に中間挿入物として人の凍結乾燥硬膜 (LYODURAR) を使用した1例. 日口外誌 28: 243-247, 1982.
– reference: 21) Joo, Y. J. and Kinnman J.: Ankylosis of the temporomandibular joint. Report of fifteen cases. Laryngoscope 77: 2008-2021, 1967.
– reference: 15) 藤野 博, 田代英雄, 他: 顎関節強直症の手術. 形成外科 6: 211-217, 1963.
– reference: 42) 村上賢一郎, 小野尊睦: 関節鏡でとらえた顎関節とその解剖 (下). 日本歯科評論 520: 158-170, 1986.
– reference: 16) 渡辺義男, 小林敏郎, 他: わが教室における過去10年間に経験せる顎関節強直症27例の臨床統計的観察. 口科誌 16: 1-13, 1967.
– reference: 18) 宮崎宏延, 竹之下康治, 他: シリコーンキャップを用いた顎関節授動術の1例 -臨床統計的考察を加えて-. 日口外誌 29: 1256-1262, 1983.
– reference: 29) Thoma, K. H.: Oral Surgery 4th Ed, Mosby Co, St Louis, 1963, p. 613-620.
– reference: 8) Topazian, R. G.: Etiology of ankylosis of temporomandibular joint; ankylosis of 44 cases. J Oral Surg 22: 227-233, 1964.
– reference: 35) 大西正俊, 水谷 雄, 他: 関節鏡を診断に応用した顎関節強直症の治験例. 日口外誌 22: 436-442, 1976.
– reference: 14) 塩田重利: 口腔外科診断と治療. 顎関節強直症. 歯界広報 11: 10-12, 1962.
– reference: 31) 岡 達, 中村允也, 他: 重症関節リウマチ患者の顎関節症状 (抄). 日口外誌 6: 540, 1960.
– reference: 44) Goss, A. N., Oms, F., et al: The athroscopic appearance of acute temporomandibular joint trauma J Oral Maxillofac Surg 48: 780-783, 1990.
– reference: 37) Blair, V. P.: Operative treatment of ankylosis of the mandible, with a history of the operation anc analysis of two hundred and twelve cases. Surg Gynecol Obstet 19: 436-451, 1914.
– reference: 41) 大西正俊: 関節鏡でみた顎関節. The Quintessence 2: 12-19, 1983.
– reference: 6) Ostrofsky, M. K., and Lownie, J. F.: Zygomatico-coronoid ankylosis. J Oral Surg 35: 752-754, 1977.
– reference: 49) Stevenson, T. R., Evaskus. D. S., et al: Role of the meniscus in the TMJ ankylosis: A histologica study. J Dent Res 58: 269, 1979. (special issue A)
– reference: 10) 渡辺 巌: 顎関節強直症と其の手術的療法. 日医新報 1001: 3-5, 1941.
– reference: 30) 藤崎松一, 藤崎 誠, 他: 慢性関節リウマチによる顎関節強直症の1例. 日口外誌 29: 879-886, 1983.
– reference: 2) Kazanjian, V. H.: Ankylosis of the temporomandibular joint. Am J Orthod 24: 1181-1206, 1938.
– reference: 34) Ogus, H.: Rheumatoid arthritis of the temporomandibular joint. Br J Oral Surg 12: 275-284, 1975.
– reference: 51) 上野 正, 清水正嗣, 他: 両側下顎頸部骨折に継発した顎関節強直症の治験例 (抄). 日口外誌 19: 250, 1973.
– reference: 22) Beavis, J. O.: Intra-articular bony ankylosis of the temporomandibular articulation. J Am Dent Assoc 15: 871-881, 1928.
– reference: 52) 清水正嗣: 両側下顎関節突起骨折に継発した成人顎関節強直症の1例 (その1) 既往歴より治療方針確立まで, 歯界広報 32: 1-5, 1973.
– reference: 32) 中富憲次郎: 顎関節症について -その成立説の紹介と臨床的観察-. 日本歯科医師会雑誌 20: 933-938, 1968.
– reference: 17) 上田茂樹, 西嶋克己, 他: 過去12年間当教室における顎関節強直症患者22例の臨床統計的観察. 日口外誌 27: 1398-1403, 1981.
– reference: 55) Federspiel, M. N.: Incomplete and complete jaw ankylosis. J Am Dent Assoc 26: 585-594, 1939.
– reference: 27) Riediger, D.: Zur Atiologie und Pathogenese der Kiefergelenkankylose. Fortschr Kiefer Gesichtschi 25: 106-109, 1980.
– reference: 46) Helmy, E., Bays, R., et al.: Osteoarthrosis of the temporomandibular joint following experimental disc perforation in Macaca fascicularis. J Oral Maxillofac Surg 46: 979-990, 1988.
– reference: 61) Risdon, F.: Ankylosis of the temporomaxillary joint. J Am Dent Assoc 21: 1933-1937, 1934.
– reference: 62) Dagher, I. K., McDonald, J. J.: Ankylosis of the temporomandibular joint. Oral Surg 10: 1145-1155, 1957.
– reference: 25) Faerber, TH, Ennis, RL, et al.: Temporomandibular joint ankylosis following mastoiditis: Report of a case. J Oral Maxillofac Surg 48: 866-870, 1990.
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Snippet In our department, we performed 288 arthroplasties on 236 TMJ ankylosis patients from 1934 to 1987. We investigated the inpatient and outpatient chart, the...
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StartPage 346
SubjectTerms etiology
onset age
TMJ ankylosis
Subtitle Etiology and onset age
Title Clinico-statistical study of temporomandibular joint ankylosis
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