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 in | Journal of the Japanese Society for the Temporomandibular Joint Vol. 6; no. 2; pp. 346 - 359 | 
|---|---|
| Main Authors | , , , , , | 
| Format | Journal Article | 
| Language | Japanese | 
| Published | 
            The Japanese Society for Temporomandibular Joint
    
        20.09.1994
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| Subjects | |
| Online Access | Get full text | 
| ISSN | 0915-3004 1884-4308  | 
| DOI | 10.11246/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. | 
    
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| 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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| References | 39) 大西正俊: 顎関節の関節鏡的検査法. 口病誌 42: 207-213, 1975. 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. 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. 40) 大西正俊: 顎関節内視鏡の臨床応用. 歯界展望 51: 51-58, 1978. 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. 53) 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2) 顎関節授動形成手術とその臨床経過. 歯界広報 32: 7-14, 1973. 35) Seymour, R. L., Crouse, V. L., et al: Temporomandibular ankylosis secondary to rheumatoid arthritis Oral Surg 40: 584-588, 1975. 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. 62) Dagher, I. K., McDonald, J. J.: Ankylosis of the temporomandibular joint. Oral Surg 10: 1145-1155, 1957. 21) Joo, Y. J. and Kinnman J.: Ankylosis of the temporomandibular joint. Report of fifteen cases. Laryngoscope 77: 2008-2021, 1967. 33) 水谷英樹, 篠塚 襄, 他: 慢性関節リウマチと顎関節 -その病変の推移とX線所見-. 日口外誌 31: 2421-2431, 1985. 50) 泉 祐幸, 米野孔司, 他: 顎間固定下におけるサル損傷顎関節腔内の変化について. 顎関節研究会誌 4: 41, 1984. 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. 2) Kazanjian, V. H.: Ankylosis of the temporomandibular joint. Am J Orthod 24: 1181-1206, 1938. 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. 12) 宮川喜光, 川上英世: 顎関節強直症の臨床統計的観察 (抄). 口科誌 6: 331-332, 1957. 5) Rikalainen, R., Lamberg, M. A., et al: Extra-articular fibrous ankylosis of the mandible after zygomatic fracture. J Maxillofac Surg 9: 132-136, 1981. 59) Baux, M., Cadenat, H., et al: Le Probleme etiologique des ankyloses tempro-maxillaries dites congenitales Rev Stomatol 55: 413-431, 1954. 25) Faerber, TH, Ennis, RL, et al.: Temporomandibular joint ankylosis following mastoiditis: Report of a case. J Oral Maxillofac Surg 48: 866-870, 1990. 36) Kent, J. N., Block, M. S., et al: Experience with a polymer glenoid fossa prosthesis for partial or tota temporomandibular joint reconstruction. J Oral Maxillofac Surg 44: 520-533, 1986. 27) Riediger, D.: Zur Atiologie und Pathogenese der Kiefergelenkankylose. Fortschr Kiefer Gesichtschi 25: 106-109, 1980. 61) Risdon, F.: Ankylosis of the temporomaxillary joint. J Am Dent Assoc 21: 1933-1937, 1934. 11) 林 一, 加藤吉昭, 他: 顎関節強直症について (抄). 口科誌 1: 92, 1952. 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. 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. 48) 今上茂樹: 顎関節の機能障害に関する研究 2. 顎関節損傷後の機能回復と組織修復過程に顎運動が及ぼす影響に関する実験的研究. 口科誌 26: 431-450, 1977. 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. 3) Khosla, V. M.: Pseudoankylosis of mandible produced by temporal muscle fibrosis: report of case. J Oral Surg 28: 521-522, 1970. 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. 20) 堀越達郎: 顎関節授動術の臨床的統計的観察. 口科誌 1: 275-284, 1952. 38) Thoma, K. H.: Ankylosis of the mandibular joint. Am J Orthod Oral Surg 32: 259-272, 1946. 58) Dingman, R. O.: Ankylosis of the temporomandibular joint. Am J Orthod 32: 120-125, 1948. 47) 今上茂樹: 顎関節の機能障害に関する研究 1. 顎の非可動化が顎関節に及ぼす影響に関する実験的研究. 口科誌 26: 414-430, 1977. 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. 34) Ogus, H.: Rheumatoid arthritis of the temporomandibular joint. Br J Oral Surg 12: 275-284, 1975. 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. 1) 岡 達: 顎関節の疾患 (4). 歯界展望 16: 164-170, 1959. 24) Schulte, W. C.: Ankylosis of the temporomandibular joint. Report of three cases. Oral Surg 24: 270-283, 1967. 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. 23) 上野 正, 清水正嗣, 他: 顎関節強直症の療法と成績に関する研究. 第1報, 臨床統計的観察 (抄). 口科誌 18: 246-247, 1969. 54) Stadnicki, G.: Congenital double condyle of the mandible causing temporomandibular joint ankylosis: report of case. J Oral Surg 29: 208-211, 1971. 8) Topazian, R. G.: Etiology of ankylosis of temporomandibular joint; ankylosis of 44 cases. J Oral Surg 22: 227-233, 1964. 55) Federspiel, M. N.: Incomplete and complete jaw ankylosis. J Am Dent Assoc 26: 585-594, 1939. 28) 金田敏郎, 岡 達, 他: 顎関節強直症に対する下顎枝低位関節形成術. 口科誌 18: 804-809, 1969. 22) Beavis, J. O.: Intra-articular bony ankylosis of the temporomandibular articulation. J Am Dent Assoc 15: 871-881, 1928. 9) Orlow, L. W.: Ankylosis mandibulae vera. Dtsch Z Chir 66: 399-508, 1903. 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. 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. 44) Goss, A. N., Oms, F., et al: The athroscopic appearance of acute temporomandibular joint trauma J Oral Maxillofac Surg 48: 780-783, 1990. 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. 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. 56) Thoma, K. H.: Functional disturbances following fracture of the mandibular condyle, and their treatment. Am J Orthod Oral Surg 31: 575-596, 1945. 4) 下山晴樹, 小野好一, 他: 脳幹部髄芽腫の治療中に生じた顎関節拘縮の1症例. 日口外誌 34: 2474-2479, 1988. 57) El-Mofty, S.: Ankylosis of the temporomandibular joint. Oral Surg 33: 650-660, 1972. 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 19) Haidar, Z.: Ankylosis of the temporomandibular joint; Causes and management. J Oral Med 41: 246-249, 1986. 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. 29) Thoma, K. H.: Oral Surgery 4th Ed, Mosby Co, St Louis, 1963, p. 613-620. 41) 大西正俊: 関節鏡でみた顎関節. The Quintessence 2: 12-19, 1983. 60) Thoma, K. H.,: Oral Surgery II. 2nd Ed, Mosby Co, St Louis, 1952, p. 880. 6) Ostrofsky, M. K., and Lownie, J. F.: Zygomatico-coronoid ankylosis. J Oral Surg 35: 752-754, 1977. 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.  | 
    
| 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. – reference: 9) Orlow, L. W.: Ankylosis mandibulae vera. Dtsch Z Chir 66: 399-508, 1903. – reference: 24) Schulte, W. C.: Ankylosis of the temporomandibular joint. Report of three cases. 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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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| SubjectTerms | etiology onset age TMJ ankylosis  | 
    
| Subtitle | Etiology and onset age | 
    
| Title | Clinico-statistical study of temporomandibular joint ankylosis | 
    
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