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Pre-arthroplastic mandibular distraction osteogenesis for the correction of OSA in TMJ ankylosis: a prospective observational study of 25 cases by Neelam Noel Andrade; Paul C. Mathai; Sriram Ganapathy; Neha Aggarwal; Kamil Rajpari; Trupti Nikalje is a Medicine article available to read on EtoBox.

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## Introduction: In severe tmj ankylosis cases, the lack of growth of the mandible creates an anatomically narrow airway with a reduced pharyngeal airway space [pas] which predisposes these patients towards obstructive apnoea [osa]. there is evidence in the literature that such patients experience severe discomfort during physiotherapy if such airway abnormalities are not corrected prior to ankylosis release. this eventually leads to non-compliance towards physiotherapy and increases the risk of re-ankylosis. ## Objective: In our study, pre-arthroplastic mandibular distraction osteogenesis [do] was used to increase the pas and resolve the underlying osa prior to releasing the ankylosis. ## Materials and methods: Twenty-five cases of tmj ankylosis with micrognathia and osa were included in this prospective observational sleep study. they were further divided into a paediatric group [14 subjects] and an adult group [11 subjects]. all cases presented with a history of onset of ankylosis during childhood [before the completion of craniofacial growth] as result of which there was a lack of forward growth of the mandible. subjects included in our study underwent initial do of the mandibl

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Author

Neelam Noel Andrade; Paul C. Mathai; Sriram Ganapathy; Neha Aggarwal; Kamil Rajpari; Trupti Nikalje

Published

2018

Language

EN

Field

Medicine (Health Sciences)