Coronal approach for the replacement of the condylar head in bilateral temporomandibular joint ankylosis: Report of three cases

Shou Yen Kao*, Jason Luo, Jack Yang, Cheng Jii Jo, Richard Che Shoa Chang

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

Limitation of mouth opening has long been the chief complaint for patients who suffer from temporomandibular joint (TMJ) ankylosis. For surgical treatment of this disease, several ways have been employed for access to the condylar fossa, including the preauricular, postauricular, perimeatal, endaural and Risdon approaches. In this article, we report three patients with bilateral TMJ ankylosis who underwent replacement of both condylar heads using the bicoronal approach. The advantages demonstrated with this surgical technique are ease of access to the condylar head, ideal surgical exposure field, utility of temporalis muscle and fascia and minimal risk of facial paralysis.

Original languageEnglish
Pages (from-to)388-394
Number of pages7
JournalChinese Medical Journal (Taipei)
Volume62
Issue number6
StatePublished - Jun 1999

Keywords

  • Condylar head replacement
  • Coronal approach
  • Temporomandibular joint ankylosis

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