Publikasi Scopus 2024 per tanggal 31 Januari 2024 (57 artikel)

Bangun K.; Widayanti N.; Menna C.
Bangun, Kristaninta (36902624600); Widayanti, Nurina (58787798900); Menna, Clara (57212563359)
36902624600; 58787798900; 57212563359
Challenges in Managing Post-Radiation TMJ Pseudoankylosis
2024
Journal of Craniofacial Surgery
35
1
E86
E88
2
0
Department of Surgery, Division of Plastic Surgery, Cipto Mangunkusumo Hospital, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia
Bangun K., Department of Surgery, Division of Plastic Surgery, Cipto Mangunkusumo Hospital, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia; Widayanti N., Department of Surgery, Division of Plastic Surgery, Cipto Mangunkusumo Hospital, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia; Menna C., Department of Surgery, Division of Plastic Surgery, Cipto Mangunkusumo Hospital, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia
This study demonstrates the outcomes of post-radiation temporomandibular joint (TMJ) pseudoankylosis management and its challenges. A rare maxillary squamous cell carcinoma was treated with subtotal maxillary resection. Subsequent radiation therapy, failure of free flap reconstruction, and 1 year of jaw hypomobility instigated TMJ pseudoankylosis with a maximal mouth opening (MMO) of less than 5 mm. Bilateral coronoidectomy was done simultaneously with maxillary reconstruction, followed up with buccal fibrosis release and extensive jaw exercises. At 16 months of follow-up, the patient's MMO was 20 mm. Although bilateral coronoidectomy released the attachment of the atrophic temporalis muscle, it did not correct the other causes of trismus, specifically the progressive fibrosis of masticatory muscles, loss of elasticity of the TMJ ligaments, and other soft tissue abnormalities. Radiotherapy-induced-trismus refractory to physical exercise may require further management to achieve satisfactory MMO. © 2024 Lippincott Williams and Wilkins. All rights reserved.
pseudoankylosis; radiation; temporomandibular joint; TMJ
Lippincott Williams and Wilkins
10492275
Article
Q2
396
12572