TMJ Ankyloysis in Hyderabad

TMJ Ankyloysis in Hyderabad also known as temporomandibular joint (TMJ) ankylosis is a condition in which the joint connecting the jawbone to the skull becomes stiff and immobile due to the fusion of bone and soft tissue.

This can lead to difficulty in opening and closing the mouth causing pain and limited movement. Treatment for TMJ ankylosis depends on the severity of the condition and can range from non-surgical to surgical interventions.

Non-surgical treatment options include physiotherapy and medications such as non-steroidal anti-inflammatory drugs (NSAIDs) to manage pain and inflammation. Physiotherapy can help to maintain range of motion and prevent muscle atrophy. In cases where the ankylosis is mild, non-surgical treatment may be sufficient to manage symptoms.

Surgery may be required in cases that are more serious. The type of surgery will depend on the extent of the ankylosis and the age of the patient. Surgical options include:

 

 

 

• • Arthroplasty

 

This involves removing the fused bone and replacing it with prosthesis or an autologous graft from another part of the body. This can restore normal joint function and allow for improved movement of the jaw.

 

 

• • Distraction osteogenesis

 

This involves creating a small cut in the fused bone and slowly pulling it apart over time using a device called a distractor. This stimulates the growth of new bone and soft tissue to fill the gap, which can help to restore normal joint function.

 

 

• • Coronoidectomy

 

This involves removing a small piece of bone in the front of the jaw to improve jaw movement. This procedure is typically used in cases where the ankylosis is limited to the coronoid process, a bony structure in the front of the jaw.

 

Recovery time and outcomes of TMJ ankylosis in Hyderabad at clinics like Akruti plastic and cosmetic surgery can vary depending on the extent of the ankylosis and the type of surgery performed.

 

 

History of TMJ ankylosis – How it originated

 

The history of TMJ ankylosis dates back to ancient times. Evidence of this condition has been found in skulls of Egyptian mummies dating back to 3000 BC. However, it was not until the 19th century that the medical community began to study this condition in more detail.

In 1829, the French physician Jean Louis Petit was the first to describe the condition in medical literature. He referred to it as “false anchylosis” of the jaw and noted that it was often caused by trauma or infection.

In the early 20th century, the German surgeon Ernst von Bergmann was the first to attempt surgical treatment for TMJ ankylosis. He used a procedure called “intermaxillary wiring” to immobilize the jaw and prevent further fusion of the joint. Other surgeons, who used various materials such as rubber bands and metal wires to achieve the same effect, later refined this approach.

In the mid-20th century, advances in imaging technology such as X-rays and CT scans allowed for better diagnosis and assessment of TMJ ankylosis. This led to the development of new surgical techniques such as joint mobilization and gap arthroplasty, which aimed to restore normal joint movement and function.

In the 1960s, a new technique called distraction osteogenesis was introduced for the treatment of TMJ ankylosis. This procedure involves gradual stretching of the fused joint using a device called a distractor, which promotes new bone growth and improves joint mobility over time. While this approach requires a longer recovery period, it has been shown to have good long-term outcomes in many patients.

Today, TMJ ankylosis remains a challenging condition to treat, particularly in cases where there is significant joint fusion or damage. However, advances in surgical techniques, imaging technology, and anesthesia have improved outcomes and reduced risks associated with treatment. Many patients are able to achieve good results and improved quality of life following appropriate treatment.

In addition to surgical intervention, conservative measures such as physical therapy, pain medication, and jaw exercises are often used to manage symptoms of TMJ ankylosis.

Early detection and treatment is the key to prevent further damage and improving outcomes for patients with this condition. Research is ongoing to identify new treatment options and improve understanding of the underlying causes of TMJ ankylosis.

 

TMJ ankylosis treatment in Hyderabad

 

Medical technology used in TMJ ankylosis treatment in Hyderabad

Medical technology has revolutionized the TMJ ankylosis treatment in Hyderabad in recent years. Some of the medical technologies used in the diagnosis and treatment of this condition

 

 

• • Imaging technology

 

Imaging technology such as X-rays, CT scans, and MRI are used to diagnose TMJ ankylosis and assess the extent of joint damage. X-rays are often the first imaging modality used to evaluate TMJ ankylosis, but CT scans and MRI can provide detailed information about the joint structure and surrounding tissues.

 

 

• • Computer-aided design and manufacturing (CAD/CAM)

 

CAD/CAM technology is used to create customized implants for patients with severe TMJ ankylosis. This technology involves creating a digital 3D model of the patient’s jaw and designing an implant that fits their specific anatomy. The implant is then manufactured using computer-guided milling or 3D printing.

 

 

• • Virtual surgical planning

 

Virtual surgical planning (VSP) is a technology that allows surgeons to plan and simulate surgical procedures in a virtual environment before performing them on the patient. This technology can be particularly useful for complex surgical procedures such as condylar reconstruction or distraction osteogenesis. By using VSP, surgeons can optimize surgical plans and reduce the risk of complications.

 

 

• • Electromyography (EMG)

 

EMG is a technique that measures the electrical activity of the muscles involved in jaw movement. This technology can be used to evaluate the function of the jaw muscles and identify areas of weakness or dysfunction. It can also be used to monitor muscle activity during physical therapy or jaw exercises.

 

 

• • Ultrasonic bone cutting

 

Ultrasonic bone cutting is a minimally invasive surgical technique that uses high-frequency sound waves to cut bone without damaging surrounding tissues. This technology can be used in joint mobilization or gap arthroplasty procedures to minimize trauma to the surrounding tissues and reduce the risk of complications.

 

 

• • Intraoperative navigation

 

Intraoperative navigation is a technology that allows surgeons to track their instruments and monitor their position during surgery. This technology can be particularly useful in complex surgical procedures such as condylar reconstruction or distraction osteogenesis, where precise placement of surgical instruments is critical.

 

 

• • Anesthesia technology:

 

Anesthesia technology has also advanced significantly in recent years, allowing for safer and more effective anesthesia during TMJ ankylosis surgery. Technologies such as video laryngoscope and ultrasound-guided regional anesthesia can help to minimize the risk of complications and improve patient outcomes.

In addition to these technologies, advances in materials science have led to the development of new implant materials such as titanium alloys and polyethylene. These materials offer improved biocompatibility and mechanical properties, reducing the risk of implant failure and improving long-term outcomes for patients.

While medical technology has improved the diagnosis and treatment of TMJ ankylosis, it is important to note that these technologies should be used in conjunction with a comprehensive treatment plan that includes conservative measures such as physical therapy and pain management.

A multidisciplinary team approach involving specialists such as oral and maxillofacial surgeons, orthodontists, and physical therapists can help to ensure the best possible outcomes for patients with TMJ ankylosis.

 

Benefits of TMJ ankylosis treatment in Hyderabad at Akruti plastic and cosmetic surgery include-

 

 

• • Improved jaw function

 

TMJ ankylosis can cause significant limitations in jaw movement and function, including difficulty chewing, speaking, and opening the mouth. Treatment can help to restore normal jaw function, improving the patient’s ability to eat, speak, and perform daily activities.

 

 

• • Pain relief

 

TMJ ankylosis can cause chronic pain in the jaw, face, and neck. Treatment can help to alleviate this pain, improving the patient’s quality of life and reducing the need for pain medications.

 

 

• • Improved oral hygiene

 

TMJ ankylosis can make it difficult to maintain good oral hygiene, increasing the risk of dental problems such as cavities and gum disease. Treatment can help to improve oral hygiene and reduce the risk of dental complications.

 

 

• • Improved aesthetics

 

Severe cases of TMJ ankylosis can cause facial asymmetry and deformity, affecting the patient’s appearance and self-confidence. Treatment can help to improve facial symmetry and restore a more natural appearance.

 

 

• • Improved quality of life:

 

TMJ ankylosis can have a significant impact on a patient’s quality of life, affecting their ability to perform daily activities and enjoy life. Treatment can help to improve quality of life, reducing pain and improving function and appearance.

 

 

• • Prevention of further joint damage

 

TMJ ankylosis can lead to progressive joint damage and degeneration if left untreated. Treatment can help to prevent further joint damage and preserve joint function.

 

 

• • Reduced risk of complications

 

TMJ ankylosis treatment can help to reduce the risk of complications such as infections, bleeding, and nerve damage associated with surgical procedures.

 

TMJ ankylosis treatment in Hyderabad when provided by expert surgeons at Akruti plastic & cosmetic surgery can provide significant benefits for patients suffering from this condition, improving function, reducing pain, and improving quality of life.