Maxillofac Plast Reconstr Surg.  2015 Aug;37(8):23. 10.1186/s40902-015-0025-1.

Assessment of functional improvement with temporalis myofascial flap after condylectomy in elderly patients with anterior disc displacement without reduction and an erosive condylar surface

• Kang YH
• Bok JS
• Park BW
• Choi MJ
• Kim JE
• Byun JH

• KMID: 2381849
• DOI: http://doi.org/10.1186/s40902-015-0025-1

Abstract

BACKGROUND
The purpose of this study was to investigate the functional effects of temporalis myofascial flap after condylectomy, with or without disc removal, in elderly patients with anterior disc displacement (ADD) without reduction and an erosive condylar surface of the temporomandibular joint (TMJ).
METHODS
A total of 15 joints from 11 elderly patients (71-78 years old) were included. The patients had pain, mandibular dysfunction symptoms, and unilateral or bilateral ADD as well as an erosive condylar surface of the TMJ. All patients underwent temporalis myofascial flap reconstruction after condylectomy, with or without disc removal. If the maximal mouth opening (MMO) remained <35 mm after condylectomy, coronoidotomy was also performed. Self-assessed pain and mandibular function, including MMO and protrusive and lateral movements, were evaluated.
RESULTS
No patient experienced serious complications. Most measurements improved significantly after surgery compared to preoperatively. Most patients achieved nearly-normal mouth opening at 4 weeks after surgery. Although most patients felt discomfort during active postoperative physiotherapy, no patient reported serious pain during the follow-up period.
CONCLUSION
Although nonsurgical therapy is often the first treatment choice for ADD without reduction of the TMJ, surgical intervention involving condylectomy and temporalis myofascial flap reconstruction may be a reasonable first option for elderly patients with an erosive condylar surface of the TMJ.

Keyword

TMJ; Elderly patients; Disc displacement without reduction; Condylectomy; Temporalis myofascial flap

MeSH Terms

Aged*
Follow-Up Studies
Humans
Joints
Mouth
Temporomandibular Joint