REMOVAL OF TEMPOROMANDIBULAR JOINT BONE ANKYLOSIS BY SHAPE-FORM ALLOY MATERIALS
Department of maxillofacial surgery with child’s stomatology, State Educational Establishment «Institute of Postgraduate Education in Health Sphere of the Republic of Tajikistan» Introduction. Today, the large number of bone-plastic surgery methods that are reconstructing temporomandibular joint using autotransplantants and different kinds of allotransplantants including their combinations are developed to recover mandibular head. However these methods cannot fully resolve all the problems that specialists are facing today due to high frequency of disease recurrence because of rejection and resorption of the transplant. Therefore endoprosthesis replacement of temporo mandibular joint is an issue of high currency. Aim of research. To increase of surgical treatment efficiency of temporomandibular joint bone ankylosis using porous titanium nickel endoprosthesises. Materials and method. The study is based on a treatment data of 10 patients of 13 to 40 years with two-sided temporomandibular joint bone ankylosis in adult maxillofacial surgery department of State Medical Center of Republic of Tajikistan (SMCRT). Results. All patients had satisfactory postsurgical period. No significant complications were observed. Short term postsurgical period was accompanied by insignificant inflammatory reaction in intervention zone that was eliminated in 5-8 day. The mandibular movement restored after the reversal of inflammation and swelling of tissues in intervention area. 1-1.5 months later and futher there were no complaints, movements of mandible were full and no functional disorders from temporomandibular joints were identified. The position of endoprosthesises on x-ray were satisfactory and no destructive changes of recipient bone tissue were identified. Conclusion. Thus, analysis of distant results of porous titanium nickel endoprosthesises application for replacement of mandibular condylar processes in patients with temporomandibular ankylosis lesion, made according to anatomical specifics of affected organ, shows the possibility of complete restoration of lost anatomical and functional characteristics of dentomaxillar apparatus.