Arthroplasty of Temporomandibular Joint Ankylosi By Autogenious Tissue Versus Alloplastic Material

Abstract

Objective: To compare the post operative late outcome of the temporomandibular joint arthroplasty of two different surgical procedures, arthroplasty by autogenous and alloplastic material.

Study design: Comparative study.

Place and Duration of Study: This study was conducted at the Maxillofacial Surgery Unit, Mayo hospital / King Edward Medical College, Lahore from 1^st January 2003 to 31 Dec. 2003.

Materials and Methods: the study was conducted in the oral and maxillofacial surgery department Mayo hospital Lahore. Thirty TMJ ankylosis patient were divided into two equal groups, group A and group B. group A fifteen patient underwent TMJ arthroplasty with autogenous tissue. While group B fifteen patient TMJ arothroplasty was done with alloplastic material, post operative complications are recorded at each follow up visit.

Results: In group A there were five male and ten female patient. In group B there were six male and nine female patients. mean age group A was 14.2+_ 4.858. while in group B mean age was 14.867+- 4.47 years. There was no statistical difference in age of two groups (P=723). After one year of follow up. There is no post operative complication in group A while in group B three patients had recurrence due to foreign body reaction. Who had to be re-operated.

Conclusion:  arthroplasty of temporomandibular joint with autogenous tissue should be preferred in the patient of temporomandibular joint ankylosis as compared to arthroplasty of temporomandibular joint with alloplastic material.