Experience of using arthroplasty for repair of temporomandibular ankylosis

Muzikin M.I.; Nesterov O.V.; Urakova E.V.; Rudyk A.N.; Nesterova E.E.

doi:https://doi.org/10.17116/rosrino202533021164

Muzikin M.I.

S.M. Kirov Military Medical Academy;
Saint-Petersburg Research Institute of Ear, Throat, Nose and Speech

ORCID: 0000-0003-1941-7909

Nesterov O.V.

Clinic of plastic and reconstructive surgery

ORCID: 0000-0002-3298-1224

Urakova E.V.

Kazan State Medical Academy — branch of the Russian Medical Academy of Continuous Professional Education

ORCID: 0000-0003-1140-6412

Rudyk A.N.

Kazan State Medical Academy — branch of the Russian Medical Academy of Continuous Professional Education;
Republican Clinical Oncological Dispensary of the Ministry of Health of the Republic of Tatarstan named after Professor M.Z. Sigal;
Institute of Fundamental Medicine and Biology of the Kazan (Volga Region) Federal University

ORCID: 0000-0002-7309-9043

Nesterova E.E.

Kazan State Medical University

Experience of using arthroplasty for repair of temporomandibular ankylosis

Authors:

Muzikin M.I., Nesterov O.V., Urakova E.V., Rudyk A.N., Nesterova E.E.

More about the authors

Journal: Russian Rhinology. 2025;33(2): 164‑169

DOI: 10.17116/rosrino202533021164

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To cite this article:

Muzikin MI, Nesterov OV, Urakova EV, Rudyk AN, Nesterova EE. Experience of using arthroplasty for repair of temporomandibular ankylosis. Russian Rhinology. 2025;33(2):164‑169. (In Russ.)
https://doi.org/10.17116/rosrino202533021164

Подписка 2026 Российская ринология (Russian Rhinology)

Использование инфографики авторами научных работ

Abstract:

Treatment of patients with bone and fibrous pathology of the temporomandibular joint (TMJ), especially accompanied by secondary osteoarthritis deformans, occupies a special place in the modern maxillofacial surgery. The number of adult patients of all age groups, as well as children and adolescents with this disease has no tendency to decrease, ranging from 53 to 78.8% among disabled people with diseases of the TMJ. Titanium TMJ prostheses have been widely used in clinical practice in recent years, they are stable, universally applicable and not exposed to resorption compared to autogenous bone grafts.

OBJECTIVE

To assess the results of treatment of TMJ with pronounced contracture of the mandible using standard titanium endoprostheses.

PATIENTS AND METHODS

Treatment of 5 patients was carried out in special care unit of the multidisciplinary hospital: 4 patients (aged from 32 to 54 years) with TMJ unilateral ankylosis, 1 patient (aged 20 years) with bilateral ankylosis. TMJ prostheses were fixed and stabilized intraoperatively in all patients. Mandibular ramus was lengthened using a TMJ prosthesis on one side in 4 patients with severe mandibular contracture, bilateral osteotomy with arthroplasty by Conmet (Russia) titanium articular endoprostheses was performed in 1 patient. The follow-up period of patients ranged from 12 months to 2 years.

RESULTS

No loosening, breakage or infection leading to prosthesis removal have been detected during the whole follow-up period.

CONCLUSION

Experience of using universal titanium prostheses in the arthroplasty has shown their high effectiveness in the treatment of both TMJ unilateral and bilateral ankylosis of various etiologies.

Keywords:

ankylosis of the temporomandibular joint

diseases of the masticatory apparatus

fibrotic ankylosis

bone ankylosis

diseases of the temporomandibular joint

temporomandibular joint implant

Authors:

Muzikin M.I.

S.M. Kirov Military Medical Academy;
Saint-Petersburg Research Institute of Ear, Throat, Nose and Speech

ORCID: 0000-0003-1941-7909

Nesterov O.V.

Clinic of plastic and reconstructive surgery

ORCID: 0000-0002-3298-1224

Urakova E.V.

Kazan State Medical Academy — branch of the Russian Medical Academy of Continuous Professional Education

ORCID: 0000-0003-1140-6412

Rudyk A.N.

ORCID: 0000-0002-7309-9043

Nesterova E.E.

Kazan State Medical University

Received:

01.12.2023

Accepted:

19.02.2024

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References:

Epiphanov SA, Skuredin VD. The evolution of total endoprosthesis of the temporomandibular joint. Vestnik Natsionalnogo mediko-khirurgicheskogo Tsentra im. N.I. Pirogova. 2018;13(2):141-145. (In Russ).
Hu Y, Zhang L, He D, Yang C, Chen M, Zhang S, Li H, Ellis E III. Simultaneous treatment of temporomandibular joint ankylosis with severe mandibular deficiency by standard TMJ prosthesis. Sci Rep. 2017;7:45271. https://doi.org/10.1038/srep45271
Jain G, Kumar S, Rana AS, Bansal V, Sharma P, Vikram A. Temporomandibular joint ankylosis: a review of 44 cases. Oral Maxillofacial Surgery. 2008;12(2):61-66. https://doi.org/10.1007/s10006-008-0103-y
Erol B, Tanrikulu R, Görgün B. A clinical study on ankylosis of the temporomandibular joint. J Craniomaxillofac Surg. 2006;34(2):100-106. https://doi.org/10.1016/j.jcms.2005.07.008
Roychoudhury A, Parkash H, Trikha A. Functional restoration by gap arthroplasty in temporomandibular joint ankylosis: A report of 50 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1999;87(2):166-169. https://doi.org/10.1016/s1079-2104(99)70267-2
Iordanishvili AK, Tolmachev IA, Muzikin MI, Panchuk YuP, Golovko AA. Professional errors and defects in the provision of medical care during dental rehabilitation of adult patients. Vestnik voenno-mediusinskoy akademii. 2016;1(53):50-55. (In Russ).
Epifanov SA, Shtempel’ MS, Zangieva OT, Fedotov RN, Vysel’ceva YuV, Shomin EA. Total endoprosthetics for ankylosis of the temporomandibular joint. Vestnik Nacional’nogo mediko-hirurgicheskogo Centra im. N.I. Pirogova. 2022;1:9-11. (In Russ).
Miyamoto H, Kurita K, Ogi N, Ishimaru JI, Goss AN. The role of the disk in sheep temporomandibular joint ankylosis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1999;88(2):151-158. https://doi.org/10.1016/s1079-2104(99)70109-5
Sawhney C. Bony ankylosis of the temporomandibular joint: Follow-up of 70 patients treated with arthroplasty and acrylic spacer interposition. Plast Reconstr Surg. 1986;77(1):29-40.
He D, Yang C, Chen M, Zhang X, Qiu Y, Yang X, Li L, Fang B. Traunatic Temporomandibular joint ankylosis: Our classification and treatment experience. J Oral Maxillofac Surg. 2011;69(6):1600-1607. https://doi.org/10.1016/j.joms.2010.07.070
Cheng KJ, Liu YF, Wang JH, Wang R, Xia J, Xu X, Jiang XF, Dong XT. 3D-printed porous condylar prosthesis for temporomandibular joint replacement: Design and biomechanical analysis. Technol Health Care. 2022; 30(4):1017-1030. https://doi.org/10.3233/THC-213534
Wurm MC, Hagen J, Nkenke E, Neukam FW, Schlittenbauer T. The fitting accuracy of pre-bend reconstruction plates and their impact on the temporomandibular joint. J Craniomaxillofac Surg. 2019;47(1):53-59. https://doi.org/10.1016/j.jcms.2018.05.033
Zheleznyj PA, Zubrilin EV, Zheleznyj SP, Kolybelkin MV. Comprehensive rehabilitation for anomalies and deformities in reconstructive maxillofacial surgery. Vesti stomatologii. 2008;1:58-62. (In Russ).
Piombino P, Sani L, Sandu G, Carraturo E, De Riu G, Vaira LA, Maglitto F, Califano L. Titanium Internal Fixator Removal in Maxillofacial Surgery: Is It Necessary? A Systematic Review and Meta-Analysis. J Craniofac Surg. 2023;34(1):145-152. https://doi.org/10.1097/SCS.0000000000009006
Demircan S, Uretürk EU, Apaydın A, Şen S. Fixation Methods for Mandibular Advancement and Their Effects on Temporomandibular Joint: A Finite Element Analysis Study. Biomed Res Int. 2020;2020:2810763. https://doi.org/10.1155/2020/2810763