Ultrasonic Versus Conventional Arthroplasty in the Treatment of Temporomandibular Joint Ankylosis: A Systematic Review
Vijayant Patel
Post Graduate Student, Department of Oral and Maxillofacial Surgery, Institute of Dental Sciences, Siksha ‘O’ Anusandhan (Deemed to be University), Bhubaneswar, Odisha, India
Sobhan Mishra
Professor and HoD, Department of Oral and Maxillofacial Surgery, Institute of Dental Sciences, Siksha ‘O’ Anusandhan (Deemed to be University), Bhubaneswar, Odisha, India
Susmita Nayak
Post Graduate Student, Department of Oral and Maxillofacial Surgery, Institute of Dental Sciences, Siksha ‘O’ Anusandhan (Deemed to be University), Bhubaneswar, Odisha, India
Anandamay Goswami
Post Graduate Student, Department of Oral and Maxillofacial Surgery, Institute of Dental Sciences, Siksha ‘O’ Anusandhan (Deemed to be University), Bhubaneswar, Odisha, India
Someswar Chakraborty
Post Graduate Student, Department of Oral and Maxillofacial Surgery, Institute of Dental Sciences, Siksha ‘O’ Anusandhan (Deemed to be University), Bhubaneswar, Odisha, India
Karan Baruah
Post Graduate Student, Department of Oral and Maxillofacial Surgery, Institute of Dental Sciences, Siksha ‘O’ Anusandhan (Deemed to be University), Bhubaneswar, Odisha, India
ABSTRACT:
Background: Ankylosis of the temporomandibular joint (TMJ) results in significant functional and aesthetic impairment. Conventional surgical techniques, while effective, pose risks such as excessive bleeding and neurovascular injuries. Ultrasonic surgery has been proposed as a safer alternative for TMJ arthroplasty. Objective: To compare clinical outcomes of ultrasonic versus conventional surgical methods for the management of TMJ ankylosis. Methods: A systematic review of studies comparing ultrasonic and conventional arthroplasty for TMJ ankylosis was conducted. PRISMA guidelines were followed, and data were extracted from PubMed, Scopus, and Web of Science. Outcomes assessed included operation time, postoperative inter-incisal opening, intraoperative bleeding, complications, and recurrence rates. Results: Four studies met the inclusion criteria. Ultrasonic surgery demonstrated significantly reduced intraoperative bleeding and comparable long-term outcomes in inter-incisal opening. Recurrence rates were low in both methods. However, ultrasonic surgery required longer operation times and incurred higher costs. Conclusion: Ultrasonic surgery provides a safer alternative to conventional techniques for TMJ ankylosis, with reduced bleeding and soft tissue damage. Further randomized controlled trials with larger sample sizes are necessary to validate its efficacy and cost-effectiveness.
Published in: International Journal of Recent Advances in Multidisciplinary Topics (Volume 5, Issue 11, November 2024)
Page(s): 146-148
Date of Publication: 30/11/2024
Publisher: IJRAMT
Cite as: Vijayant Patel, Sobhan Mishra, Susmita Nayak, Anandamay Goswami, Someswar Chakraborty, Karan Baruah, “Ultrasonic Versus Conventional Arthroplasty in the Treatment of Temporomandibular Joint Ankylosis: A Systematic Review,” in International Journal of Recent Advances in Multidisciplinary Topics, vol. 5, no. 11, pp. 146-148, November 2024.