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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...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2012
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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. |
format | Online Article Text |
id | pubmed-3513808 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
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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