RESUMO
Background and Objectives: To study the correlation between etiology, sex, side and time of TMJA, to evaluate and compare two different surgical techniques and their postoperative complications
Methods: Twenty-one patients [15 female , 6 male] were treated in Rizgary Teaching Hospital in Hawler during the period May 2007-October 2008. The patients were referred from Hawler and Duhok governorates, and operated on by two surgeons each adopted one surgical technique, either gap arthroplasty with temporalis muscle flap [technique A] or horizontal ramus osteoctomy with masseter muscle flap [technique B]
Results: We found 95.65% of patients had TMJA before the age of ten years and 96% was due to trauma [57% was bilateral TMJA and 43% unilateral], technique [B] was easier and of shorter duration than technique [A] which was more functional. The most common postoperative complication was neural deficit [33.33%]. Anterior open-bite occurred in 36.3% of patients with bilateral ankylosis
Conclusions: The earlier the onset of ankylosis, the more the extent of deformity and the more complicated surgical technique was required. Both techniques were effective with good immediate out come
RESUMO
We report the first case of a traumatic soft-tissue nasal arterio-venous malformation following nasal injury without clinical and radiological evidence of fracture of the nasal bones. This case was treated at Mosul Teaching Hospital by surgical excision. In this report, we describe the clinical presentation, anatomy, pathophysiology and management of such case. A review of the literature on this rare and unusual condition is presented