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Clinicoradiological evaluation of dermis-fat grafts after temporomandibular joint discectomy: A retrospective study

PURPOSE: The aim of this study was to compare the preoperative and 1-year postoperative clinical and radiological findings of the patients after unilateral temporomandibular joint (TMJ) discectomy with inter-positional abdominal dermis-fat graft. MATERIALS AND METHODS: Fourteen patients underwent un...

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Autores principales: Candirli, Celal, Esen, Alparslan, Taskesen, Fatih, Celik, Salih, Cakir, Banu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3513808/
https://www.ncbi.nlm.nih.gov/pubmed/23251057
http://dx.doi.org/10.4103/0975-5950.102152
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author Candirli, Celal
Esen, Alparslan
Taskesen, Fatih
Celik, Salih
Cakir, Banu
author_facet Candirli, Celal
Esen, Alparslan
Taskesen, Fatih
Celik, Salih
Cakir, Banu
author_sort Candirli, Celal
collection PubMed
description PURPOSE: The aim of this study was to compare the preoperative and 1-year postoperative clinical and radiological findings of the patients after unilateral temporomandibular joint (TMJ) discectomy with inter-positional abdominal dermis-fat graft. MATERIALS AND METHODS: Fourteen patients underwent unilateral discectomy and dermis-fat grafting between 2008 and 2010. Preoperative and 1-year postoperative clinical parameters such as maximum mouth openings (MMO) and lateral movements (LM) of the mandible were recorded. Additionally, preoperative and postoperative magnetic resonance imagingwas obtained to determine the duration of operated TMJs. RESULTS: All of the 14 patients showed the improvement in mandibular mobility and function. There was a significant increase in the MMO and LM during the follow-up period. Pain levels at follow-up were significantly lower than the preoperative levels. Radiologically, the dermis-fat graft was detected within the joint or surrounding the condyle in all 14 operated joints. The graft material that was found within the joint space was mainly grey in four joints. Ten joints showed heterogeneous material composed of fat interspersed with grey tissue. CONCLUSION: Discectomy and dermis-fat grafting appears to be a successful surgical option regarding to the clinical parameters. However, summed degenerative changes depending on surgical operation should be retained.
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spelling pubmed-35138082012-12-18 Clinicoradiological evaluation of dermis-fat grafts after temporomandibular joint discectomy: A retrospective study Candirli, Celal Esen, Alparslan Taskesen, Fatih Celik, Salih Cakir, Banu Natl J Maxillofac Surg Original Article PURPOSE: The aim of this study was to compare the preoperative and 1-year postoperative clinical and radiological findings of the patients after unilateral temporomandibular joint (TMJ) discectomy with inter-positional abdominal dermis-fat graft. MATERIALS AND METHODS: Fourteen patients underwent unilateral discectomy and dermis-fat grafting between 2008 and 2010. Preoperative and 1-year postoperative clinical parameters such as maximum mouth openings (MMO) and lateral movements (LM) of the mandible were recorded. Additionally, preoperative and postoperative magnetic resonance imagingwas obtained to determine the duration of operated TMJs. RESULTS: All of the 14 patients showed the improvement in mandibular mobility and function. There was a significant increase in the MMO and LM during the follow-up period. Pain levels at follow-up were significantly lower than the preoperative levels. Radiologically, the dermis-fat graft was detected within the joint or surrounding the condyle in all 14 operated joints. The graft material that was found within the joint space was mainly grey in four joints. Ten joints showed heterogeneous material composed of fat interspersed with grey tissue. CONCLUSION: Discectomy and dermis-fat grafting appears to be a successful surgical option regarding to the clinical parameters. However, summed degenerative changes depending on surgical operation should be retained. Medknow Publications & Media Pvt Ltd 2012 /pmc/articles/PMC3513808/ /pubmed/23251057 http://dx.doi.org/10.4103/0975-5950.102152 Text en Copyright: © National Journal of Maxillofacial Surgery http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Candirli, Celal
Esen, Alparslan
Taskesen, Fatih
Celik, Salih
Cakir, Banu
Clinicoradiological evaluation of dermis-fat grafts after temporomandibular joint discectomy: A retrospective study
title Clinicoradiological evaluation of dermis-fat grafts after temporomandibular joint discectomy: A retrospective study
title_full Clinicoradiological evaluation of dermis-fat grafts after temporomandibular joint discectomy: A retrospective study
title_fullStr Clinicoradiological evaluation of dermis-fat grafts after temporomandibular joint discectomy: A retrospective study
title_full_unstemmed Clinicoradiological evaluation of dermis-fat grafts after temporomandibular joint discectomy: A retrospective study
title_short Clinicoradiological evaluation of dermis-fat grafts after temporomandibular joint discectomy: A retrospective study
title_sort clinicoradiological evaluation of dermis-fat grafts after temporomandibular joint discectomy: a retrospective study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3513808/
https://www.ncbi.nlm.nih.gov/pubmed/23251057
http://dx.doi.org/10.4103/0975-5950.102152
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