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International Journal of Rheumatology
Volume 2011 (2011), Article ID 854167, 5 pages
http://dx.doi.org/10.1155/2011/854167
Review Article

Surgical Management of Temporomandibular Joint Ankylosis in Ankylosing Spondylitis

Department of Oral & Maxillofacial Surgery, Frenchay Hospital, Beckspool Road, Bristol BS16 1LE, UK

Received 19 November 2010; Accepted 26 January 2011

Academic Editor: Shinichi Kawai

Copyright © 2011 Andrew M. Felstead and Peter J. Revington. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Relatively few patients develop such severe degenerative temporomandibular joint (TMJ) disease that they require total joint replacement. Current indications include those conditions involving condylar bone loss such as degenerative (osteoarthritis) or inflammatory joint disease (ankylosing spondylitis, rheumatoid, and psoriatic). Ankylosis of the temporomandibular joint (TMJ) secondary to ankylosing spondylitis remains an under investigated entity. We aim to provide an overview of treatment objectives, surgical procedures, and our experience with total TMJ replacement for this condition.