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American Journal of Medical Sciences and Medicine. 2018, 6(2), 37-40
DOI: 10.12691/ajmsm-6-2-4
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Temporomandibular Joint Ankylosis: An Epidemiological Study in Marrakesh

Aziz Zakaria1, , Aboulouidad Salma1, Kharbouch Jinane1, Ibnouelghazi Naouar1 and Mansouri Hattab Nadia1

1Department of Maxillofacial Surgery, Mohammed VI University Hospital Center, Marrakesh, Morocco

Pub. Date: September 02, 2018

Cite this paper:
Aziz Zakaria, Aboulouidad Salma, Kharbouch Jinane, Ibnouelghazi Naouar and Mansouri Hattab Nadia. Temporomandibular Joint Ankylosis: An Epidemiological Study in Marrakesh. American Journal of Medical Sciences and Medicine. 2018; 6(2):37-40. doi: 10.12691/ajmsm-6-2-4


Temporomandibular joint (TMJ) ankylosis is a disabling disease where the main clinical feature is limited mouth opening. Aim: Our study’s aim is to draw epidemiological, clinical and imaging aspects of this disease in Marrakesh. Patients and methods: retrospective study gathering all TMJ ankylosis cases operated between 2008 and 2016 at maxillo-facial surgery department in University Hospital Mohamed VI of Marrakech. Results: a total of 27 cases were included, the mean age was 22,9 years (3-55 years). The sexe-ratio was 0,5. Unilateral cases (81,5%) were more common than bilateral. The most frequent aetiology was trauma (85,2%) followed by infection (7,4%) and one case of ankylosing spondylitis (3,7%). Mouth opening less than 10mm was observed in 67%. According to Topazian Classification, Stage I was predominant (59%). Conclusion: TMJ ankylosis is frequent in our context, especially due to neglected condylar trauma so the best treatment remains the prevention based on early diagnosis and proper management of TMJ trauma.

temporomandibular joint ankylosis epidemiology

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[1]  Saraf S. Textbook of oral pathology. 1st Ed. New Delhi: Jaypee; 200; 48:1p.
[2]  Rajgopal A, Kurnar Banerfi P, Batura v, Sural A. Temporomandibular ankylosis A report of 15 cases. J. max.-fac. Surg. 11 (1983) 3741.
[3]  Su-Gwan K. Treatment of temporomandibular joint ankylosis with temporal muscle and fascia flap. Int J Oral Maxillofac Surg 2001; 30: 189-93.
[4]  Kaban LB, Perrott DH, Fisher K. A protocol for management of temporomandibular joint ankylosis. J Oral Maxillofacial Surg 1990; 48: 1145-151.
[5]  Hossain MA, Ali Shah SA, Sanker R , Biswas R. Frequency of Temporomandibular Joint Ankylosis in Various Age Groups with Reference to Etiology. Chattagram Maa-O-Shishu Hospital Medical College Journal Volume 13, Issue 2, May 2014.
[6]  Dingman R O. Ankylosis of the temporomandibular joint. American Journal Of Orhtodontics and Dentofacial Orthopedics.
[7]  Thangavelu K, Reena J, Venkataraman S. The role of three-dimensional computed tomography in the evaluation of temporomandibular joint ankylosis. J Pharm Bioallied Sci. 2012 Aug; 4(Suppl 2): S217-S220.
[8]  Metwalli S. Computerized tomography of the temporal bone in TMJ ankylosis. MSc Thesis, Cairo University, 1993; pp. 20 ± 36.
[9]  Gorgu M, Erdogan B, Akoz T, Kosar U, Dag F. Three- dimensional computed tomography in evaluation of ankylosis of the temporomandibular joint. Scand J Plast Reconst Surg 2000; 34: 117 ± 120.
[10]  De Bont LG, Van der Kuijl B, Stegenga B, Vencken LM, Boering G. Computed tomography in differential diagnosis of temporomandibular joint disorders. Int J Oral Maxillofac Surg 1993; 22: 200 ± 209.
[11]  Vibhute PJ, Bhola N, Borle RM. Temporomandibular joint Ankylosis: Multidisciplinary approach of treatment for dentofacial enhancement-Acase Report. Case Reports in Dentistry. 2011.
[12]  Simon D, Chassagne J.F, Dewachter P, Boisson-Bertrand D, Dumont T, Bussienne J.-E, Sellal S. Rapport sur l’ankylose temporo-mandibulaire XXXIXe Congrès de la Société Française de Stomatologie et de Chirurgie maxillo-faciale. Rev. Stomatol. Chir. Maxillofac., 2004; 105, 2, 71-124 © Masson, Paris, 2004.
[13]  Kazanjian V.H. Ankylosis of the temporomandibular joint. Am J Orthodont Oral Surg 1938; 24: 1181-7.
[14]  Dufourmentel L. Chirurgie de l’articulation temporomandibulaire . Masson, Paris, 1929.
[15]  Topazian RG. Etiology of ankyloses of the temporomandibular joint: analysis of 44 cases. J Oral Surg Anesth Hosp Dent Serv 1964; 22: 227-33.
[16]  Sawhney CP. Bony ankylosis of the temporomandibular joint: follow-up of 70 patients treated with arthroplasty and acrylic spacer interposition. Plast Reconstr Surg, 1986; 77: 29-38.
[17]  El-Hakim IE and Metwalli SA. Imaging of temporomandibular joint ankylosis. A new radiographic Classification. Dentomaxillofacial Radiology (2002) 31, 19-23, 2002 Nature Publishing Group.
[18]  Mabongo M, Karriem G. Temporomandibular Joint Ankylosis: Evaluation of surgical outcomes. IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-ISSN: 2279-0853, p-ISSN: 2279-0861.Volume 13, Issue 8 Ver. I (Aug. 2014), PP 60-66.
[19]  Khattak SH. Risk factors for temporomandibular joint ankylosis in different age groups. JKCD December 2011, Vol. 2, No. 1.
[20]  El-Sheikh M. Temporomandibular joint ankylosis: the Egyptian experience. Ann R Coll Surg Engl 1999; 81: 12-18.
[21]  Tanrikulu R, Erol B, Görgün B, Söker M. The contribution to success of various methods of treatment of temporomandibular joint ankylosis (a statistical study containing 24 cases). The Turkish Journal of Pediatrics 2005; 47: 261-265.
[22]  Bayat M, Badri A, Moharamnejad N. Treatment of temporomandibular joint ankylosis:gap and interpositional arthroplasty with temporalis muscle flap. Oral Maxillofac Surg (2009) 13: 207-212.
[23]  Béogo R, Gandema S, Traore I, Coulibaly T, Millogo M, Ouoba K. Temporomandibular Joint Ankylosis: About 17 Patients And Review Of Literature. Mali medical 2013 tome xxviii n°2.
[24]  Hegab A. Pathogenesis of Ankylosis and Re-Ankylosis: The Story. Journal of Dental Health, Oral Disorders & Therapy 2015, 2(5) : 00063.
[25]  Ying YB, Liangb SU, Shenc J, Zhangd JC. Current concepts in the pathogenesis of traumatic temporomandibular joint ankylosis. Head Face Med. 2014.
[26]  Miia L, Helenius J. Oral and temporomandibular joint findings in rheumatic disease. Medical Faculty of the University of Helsinki, 2005, ISBN 952-10-2806-8.
[27]  Gupta VK, Mehrotra D, Malhotra S, Kumar S, Gopal Agarwal G, and Shanker Pal U. An epidemiological study of temporomandibular joint ankylosis. Natl J MaxillofacSurg. 2012 Jan-Jun; 3(1): 25-30.
[28]  Anyanechi CE. Temporomandibular joint ankylosis caused by condylar fractures: a retrospective analysis of cases at an urban teaching hospital in Negiria. Int J Oral Maxillofac Surg (2015).
[29]  Khan Z. Management of temporomandibular joint ankylosis: literature review. Pakistan Oral & Dent. Jr. 25 (2) Dec 2005.
[30]  Madjidi A, Briat B, Couly G. Ankylose temporomandibulaire de l'enfant: à propos de 30 observations. Rev Stomatolol Chir Maxillofac 1994; 95: 157-160.