-
Dental Cadmos Aug 1980
Topics: Ankylosis; Humans; Radiography; Tooth Diseases
PubMed: 6938429
DOI: No ID Found -
Journal of Voice : Official Journal of... May 2019This study aimed to describe a graduated approach for effective transoral mobilization of cricoarytenoid joint ankylosis (CJA) in the context of the Bogdasarian system...
OBJECTIVE
This study aimed to describe a graduated approach for effective transoral mobilization of cricoarytenoid joint ankylosis (CJA) in the context of the Bogdasarian system of classifying posterior glottic web-based stenosis (PGWS).
STUDY DESIGN
This is a retrospective cohort study through data from medical records and operative notes. A consecutive series of 23 patients who underwent reconstructive transoral laser microsurgery for PGWS with a significant degree of CJA (Bogdasarian grade III-IV) was included in the study.
METHODS
Techniques necessary to remobilize their cricoarytenoid joints were reviewed in the context of the extent of scar tissue found.
RESULTS
Arytenoids with CJA were successfully mobilized by resection of the fused portion of the cricoid and arytenoid cartilages achieving respiratory improvements as well as decannulation of tracheostomy-dependent patients. The majority (83%) of patient's voices improved. All patients tolerated a full diet after the procedures. Cases with Bogdasarian grade III PGWS with minor unilateral fixation should be classified as IIIa. If the fixation is severe, the case should be classified as a grade IIIb. Grade IVa would indicate that both sides were mildly to moderately ankylosed, and grade IVb involves ankylosis of both joints with subtotal or complete fusion of at least one; it presents the greatest surgical challenge.
CONCLUSION
We provided effective transoral techniques for the re-mobilization of cricoarytenoid joint, along with a classification of CJA that aims to standardize the severity of disease in the context of the existing and widely accepted Bogdasarian scale.
Topics: Ankylosis; Arytenoid Cartilage; Biomechanical Phenomena; Cricoid Cartilage; Glottis; Humans; Laryngostenosis; Laser Therapy; Microsurgery; Recovery of Function; Retrospective Studies; Treatment Outcome
PubMed: 29306525
DOI: 10.1016/j.jvoice.2017.11.020 -
The American Journal of Otology Jan 2000Isolated congenital stapes ankylosis is rare but is a definite entity. Both small series and case reports have been published in various languages. The aim of this study... (Review)
Review
OBJECTIVE
Isolated congenital stapes ankylosis is rare but is a definite entity. Both small series and case reports have been published in various languages. The aim of this study was to review the world literature regarding isolated congenital stapes ankylosis and to critically evaluate the embryonic development of the stapes to explain the possible pathologic development of this ankylosis.
DATA SOURCES
All the publications in the English, German, and French literature regarding congenital stapes anomalies were reviewed, and original research articles on the embryonic development of the stapes and related structures were extensively and critically reviewed.
STUDY SELECTION
Of the many varieties of congenital stapes anomalies described in the literature, only the isolated congenital stapes fixation due to footplate or suprastructure fixations were selected in this study.
DATA SYNTHESIS
After extensive and critical review of the embryonic development of the stapes, the complex and confusing embryonic development is explained in a simplified way with schematic illustrations for easy understanding. The possible theories of congenital stapes ankylosis are explained on an embryologic basis and supplemented with schematic illustrations.
CONCLUSION
Based on the development of the stapes an attempt has been made to explain the possible theories for the basis of suprastructure fixation. Theories of congenital fixation of footplate also discussed.
Topics: Ankylosis; Humans; Stapes; Stapes Surgery
PubMed: 10651438
DOI: No ID Found -
The Journal of Hand Surgery, European... Jun 2023Silicone arthroplasty for proximal interphalangeal joint ankylosis is rarely performed, partly due to the potential for lateral joint instability. We present our...
Silicone arthroplasty for proximal interphalangeal joint ankylosis is rarely performed, partly due to the potential for lateral joint instability. We present our experience performing proximal interphalangeal joint arthroplasty for joint ankylosis, using a novel reinforcement/reconstruction technique for the proper collateral ligament. Cases were prospectively followed-up (median 13.5 months, range 9-24) and collected data included range of motion, intraoperative collateral ligament status and postoperative clinical joint stability; a seven-item Likert scale (1-5) patient-reported outcomes questionnaire was also completed. Twenty-one ankylosed proximal interphalangeal joints were treated with silicone arthroplasty, and 42 collateral ligament reinforcements undertaken in 12 patients. There was improvement in range of motion from 0° in all joints to a mean of 73° (SD 12.3); lateral joint stability was achieved in 40 out of 42 of collateral ligaments. High median patient satisfaction scores (5/5) suggest that silicone arthroplasty with collateral ligament reinforcement/reconstruction should be considered as a treatment option in selected patients with proximal interphalangeal joint ankylosis. IV.
Topics: Humans; Finger Joint; Arthroplasty; Collateral Ligaments; Ankylosis; Silicones; Range of Motion, Articular
PubMed: 36794466
DOI: 10.1177/17531934231156073 -
Journal of Burn Care & Research :... 2015Articular heterotopic ossification (HO) and subsequent bony ankylosis (BA) are infrequent yet devastating complications of severe burn injuries. These conditions are... (Review)
Review
Articular heterotopic ossification (HO) and subsequent bony ankylosis (BA) are infrequent yet devastating complications of severe burn injuries. These conditions are diagnosed clinically and confirmed by imaging. Patients then begin active physical therapy until cleared for surgery, which remains the standard of care. This study critically reviews the existing literature on the diagnosis, treatment, and surgical outcomes of HO/BA in severely burned patients and provides an evidence-based treatment algorithm. A comprehensive search for all the studies addressing HO and BA after burn injury was conducted using PubMed and Google Scholar from 1957 to 2013. Fifty-one studies on postburn HO/BA have been published, reporting incidences from 0.1 to 35.3%. Most patients suffered from third-degree, thermal burns, with a mean TBSA of 49 ± 14%. The mean time from burn until diagnosis was 7 ± 11 months. Seventy-nine percent of the affected joints were elbows and 84% had adjacent and/or overlying burns. Ninety-one percent of joints had solely extra-articular HO. Ninety percent of HO/BA cases were treated with anatomic excision, and all achieved appreciable increases in range of motion with infrequent recurrence. Perioperative radiotherapy was used infrequently. Surgical articular reconstruction is the standard of care for postburn HO/BA severe enough to limit joint movement and/or function. Early detection and initiation of physical therapy are paramount in preventing progression to complete BA. Increased awareness and more rapid means of detecting postburn articular changes may permit earlier discontinuation of passive range of motion exercises, thereby halting the initiation and progression of HO.
Topics: Algorithms; Ankylosis; Burns; Evidence-Based Medicine; Humans; Ossification, Heterotopic
PubMed: 25159555
DOI: 10.1097/BCR.0000000000000116 -
Interpositional arthroplasty of post-traumatic temporomandibular joint ankylosis: A modified method.Journal of Cranio-maxillo-facial... May 2021The purpose of this study was to evaluate a modified method of interpositional arthroplasty for post-traumatic temporomandibular joint ankylosis. All patients were...
The purpose of this study was to evaluate a modified method of interpositional arthroplasty for post-traumatic temporomandibular joint ankylosis. All patients were treated with a modified interpositional arthroplasty that included: navigation-assisted accurate bone dissection with minimal removal of only 5 mm of the ankylosed bony mass, novel application of bone wax and porcine acellular dermal matrix to prevent re-ankylosis, and a unique 3D-printed splint for occlusal stabilization and gap maintaining. The pre- and post-operative physical and radiological examinations of patients were recorded during routine follow-up visits. Postoperative follow-up visits lasted at least 12 months. Twelve patients, seven males and five females, ranging from 21 years to 59 years, were enrolled in this retrospective case series. All of the twelve patients with eighteen bony ankylosed temporomandibular joints were treated by our new method. The post-operative follow-up periods ranged from 1 year to 4 years. During the follow-up visits within at least 1 year, no one manifested re-ankylosis. The mean maximum incisor opening changed from 7.4 ± 5.3 mm (p < 0.001, before surgery) to 37.6 ± 3.9 mm (p < 0.001, last follow-up visit). No sign of post-operative infection or foreign body rejection was observed during the follow-up visits. The post-operative occlusal relationship was sound and stable. It is suggested that the modified method of interpositional arthroplasty provides favorable clinical and radiographic outcomes after a short-term follow up.
Topics: Animals; Ankylosis; Arthroplasty; Female; Humans; Male; Retrospective Studies; Swine; Temporomandibular Joint; Temporomandibular Joint Disorders
PubMed: 33663961
DOI: 10.1016/j.jcms.2021.01.032 -
International Journal of Paleopathology Mar 2020To explore the differential diagnoses of a fused left knee joint and the subsequent impairment.
OBJECTIVE
To explore the differential diagnoses of a fused left knee joint and the subsequent impairment.
MATERIALS
An adult female skeleton from the Medieval cemetery of St Mary Spital (London, England).
METHODS
We employed digital radiography and macroscopic observation to record the changes observed throughout the skeleton. We also used the Index of Care to explore the subsequent impairment.
RESULTS
A range of congenital and developmental conditions were identified throughout the axial skeleton, with changes to the spine, pelvis, arms and leg bones reflecting adaptation to the mobility impairment.
CONCLUSIONS
In all probability, the left knee reflects a case of congenital ankylosis with a differential diagnosis of subadult trauma. The female's skeleton had adapted to the impairment. Their risk is likely to have been elevated because of climatic and pandemic events during this period.
SIGNIFICANCE
First reported case of congenital knee ankylosis.
LIMITATIONS
The left knee joint was damaged during excavation.
SUGGESTIONS FOR FURTHER RESEARCH
Additional imaging is advised.
Topics: Adult; Ankylosis; Female; History, Medieval; Humans; Knee Joint; London
PubMed: 31982797
DOI: 10.1016/j.ijpp.2019.10.002 -
International Journal of Oral Surgery Oct 1984Ankylosis is a serious condition for the affected teeth as such teeth form part of the remodelling process of the alveolar bone and are therefore progressively resorbed.... (Comparative Study)
Comparative Study
Ankylosis is a serious condition for the affected teeth as such teeth form part of the remodelling process of the alveolar bone and are therefore progressively resorbed. There are, however, very few clinical studies on tooth ankylosis and the reason for this may be due to the difficulties that are encountered in the diagnosis of minor areas of ankylosis. In the present study, the radiographs, percussion sound and mobility of experimentally extracted and replanted monkey incisors were compared with a morphometric histological study of ankylosis. Ankylotic areas were evident radiographically when the ankylosis was located on the proximal surfaces of the root, but were not evident when the ankylosis occurred on the lingual and labial surfaces. The percussion sound was dull and the mobility normal in all non-ankylotic teeth as well as in those teeth which histologically demonstrated ankylosis on less than 10% of the root surface. When the ankylosis affected 10-20% of the root surface, 2 out of 4 teeth changed their percussion sound from dull to high and these teeth no longer possessed normal mobility. When more than 20% of the root surface was affected with ankylosis, the percussion sound was characteristically high in all teeth and no mobility was present.
Topics: Animals; Ankylosis; Haplorhini; Percussion; Radiography; Root Canal Therapy; Sound; Tooth Diseases; Tooth Mobility; Tooth Replantation
PubMed: 6438004
DOI: 10.1016/s0300-9785(84)80069-1 -
Arthritis and Rheumatism Nov 1980Forty-seven of 100 consecutive juvenile rheumatoid arthritis patients with wrist arthritis were found to have ankylosis at the carpal joints. this finding was...
Forty-seven of 100 consecutive juvenile rheumatoid arthritis patients with wrist arthritis were found to have ankylosis at the carpal joints. this finding was significantly more frequent in juvenile than in adult rheumatoid arthritis patients. The carpometacarpal wrist segment was the most frequently ankylosed. Ankylosis was not related to any particular feature of the disease, but disease duration was longer in patients with ankylosis. A significant association was found between carpal ankylosis and cervical apophyseal joint fusion.
Topics: Adolescent; Ankylosis; Arthritis, Juvenile; Child; Child, Preschool; Female; Humans; Male; Radiography; Wrist Joint
PubMed: 7447961
DOI: 10.1002/art.1780231104 -
Journal of the American Dental... Apr 1980A case of ankylosis of the maxillary right first permanent molar has been described. For 19 months, no change had been observed clinically or radiographically in the...
A case of ankylosis of the maxillary right first permanent molar has been described. For 19 months, no change had been observed clinically or radiographically in the development of the tooth. A diagnosis of ankylosis of the unerupted tooth was made. Instead of extracting the tooth, the ankylosed tooth was rocked in the bone to break the point of ankylosis. The tooth subsequently erupted and satisfactory functional results were obtained. It is suggested that this procedure should be attempted in other cases of ankylosis of permanent teeth.
Topics: Ankylosis; Child; Humans; Male; Maxilla; Molar; Radiography; Tooth Diseases; Tooth Movement Techniques
PubMed: 6928896
DOI: 10.14219/jada.archive.1980.0140