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IJPR.2017.198

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Table of Contents

Type of Article:  Original Research

Volume 5; Issue 5 (September 2017)

Page No.: 2320-2324

DOI: https://dx.doi.org/10.16965/ijpr.2017.198

POST OPERATIVE PHYSIOTHERAPY MANAGEMENT OF TEMPOROMANDIBULAR JOINT ANKYLOSIS

Danish Nouman *1, Kayinat Hassan 2.

Physiotherapist, Swami Vivekanand Subharti University, Subhartipuram, Uttar Pradesh Meerut, India.

Corresponding Author Address: Swami Vivekanand Subharti University,Subhartipuram, Nh-58, Delhi Haridwar, Uttar Pradesh Meerut, India.

E-Mail: drdchauhan86@gmail.com

ABSTRACT

Introduction: Temporomandibular joint (TMJ) ankylosis is a pathologic condition where the mandible is fused to the fossa by bony or fibrotic tissue. This interferes with mastication, speech ,oral hygiene, and normal life activities. During growth period, it can cause gross facial deformities especially, when not identified in time or if treatment is delayed. Surgical treatment is the only choice of treatment in this condition. One main drawback is that despite of extreme care during surgery, facial nerve get damage.

Materials and Methods: The study was of an experimental design, with 15 subjects, 6 were female, 9 were male,and all subjects were assigned according to criteria (inclusion & exclusion) and carried out at physiotherapy OPD of CSS Hospital, Meerut. Maximum mouth opening movements were assessed using the measuring scale & reduced facial movements by House Brackmann Score.  The subjects were reassessed after completion of 3 weeks of intervention. The collected data was of mean and standard deviation of MMO & HBS and has been analyzed using SPSS software. The study was done to determine the effect of electrical stimulation & facial exercises for improving the motor function of facial nerve & mouth opening exercises in patients with reduced mouth opening.

Results: The results showed that there was significant difference in the MMO & Facial movements respectively after the treatment.

Conclusion: Study concluded that the difference from 1st day of 1st week  to 6th day of 3rd week in MMO & HBS which shows that mouth opening exercise are effective  in patients with reduced mouth opening & electrical stimulation along with facial exercises are effective in improving the motor function of facial nerve.

KEY WORDS: Temporomandibular joint (TMJ) ankylosis, Maximum mouth opening(MMO), facial nerve injury & House Brackmann Score (HBS).

REFERENCES

  1. Roychoudhury A, Parkash, H, Trikha. A functional restoration by gap arthroplasty in temporomandibular joint ankylosis: a report of 50 cases. Oral surg oral Med Oral Pathol.1999;87:166-169.
  2. Erol,B,Tanrikulu, R, GoANrgun ,B. A clinical study on ankylosis of the temporomandibular joint. J Craniomaxillofac Surg. 2006;34:100.
  3. Lello, G.E.Surgical correction temporomandibular joint: analysis Craniomaxillofac Surg. 1990;18:19.
  4. Topazian,R.G. Etiology of ankylosis of temporomandibular joint: analysis of 44 cases. J oral surg anesth hosp dent serv. 1964; 22:227.
  5. Gokkulakrishnan S, Singh S, Sharma A, Singh AK, Borah R. Facial nerve injury following surgery for temporomandibular joint ankylosis: A prospective clinical study. Indian J Dent Res 2013;24:521.
  6. Satoh Y, Kanzaki J, Yoshihara S. A comparison and conversion table of ‘the House-Brackmann facial nerve grading system’ and ‘the Yanagihara grading system’. Auris Nasus Larynx 2000;27:207-12.
  7. Abhinav kumar, Anjana Bagewadi, Vaishali Keluskar, Mohitpal Singh. Efficacy of Lycopene in the management of oral submucous fibrosis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006. Vol. 103 No. 2 February 2007.
  8. Michelotti A, Steenks MH, Farella M, Parisini F, Cimino R, Martina R. The additional value of a home physical therapy regimen versus patient education only for the treatment of myofascial pain of the jaw muscles: short-term results of a randomized clinical Trial. J Orofac Pain. 2004;18(2):114-25.
  9. Michelotti A, De Wijer A, Steenks M, Farella M. Home exercises regimes for the management of non-specific temporomandibular disorders. J Oral Rehabil. 2005;32(11):779-85.
  10. Vijayakumar M, Priya D. Physiotherapy for improving mouth opening & tongue protrution in patients with Oral Submucous Fibrosis. International Journal of Pharmaceutical Science and Health Care Issue 3, Vol 2 April. 2013.
  11. Therapeutic Exercise 5th Carolyn. Lynn Allen Colby. Page 434-435.
  12. LM Pereira, K Obara, JM Dias,MO Menacho, EL Lavado and JR Cardoso. Facial exercise therapy for facial palsy: systematic review and meta-analysis. Clinical Rehabilitation2011;1–10.
  13. Simon Goldie,Jack Sandeman, Richard Cole, Simon Dennis, and Ian Swain.Electrical stimulation treatment for facial palsy after revision pleomorphic adenoma surgery. -J Surg Case Rep. 2016 Apr; 2016(4).
  14. Tuncay F, Borman P, Taser B, Unlu I, Samim E.Role of electrical stimulation added to conventional therapy in patients with idiopathic facial (Bell) palsy. Am J Phys Med Rehabil 2015;94:222–8.
  15. McNeely ML, Armijo Olivo S, Magee DJ. A systematic review of the effectiveness of physical therapy interventions for temporomandibular disorders. Phys Ther. 2006;86(5):710-25.
  16. Nogueira RV, Vasconcelos BC. Facial nerve injury following surgery for the treatment of ankylosis of the temporomandibular joint. Med Oral Patol Oral Cir Bucal 2007;12:E160-5.

Cite this article: Danish Nouman, Kayinat Hassan. POST OPERATIVE PHYSIOTHERAPY MANAGEMENT OF TEMPOROMANDIBULAR JOINT ANKYLOSIS. Int J Physiother Res 2017;5(5):2320-2324. DOI: 10.16965/ijpr.2017.198
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