ll of the above

Answers

1 C. In a 8-year-old child, unilateral ankylosis would

have caused marked asymmetry of face. This

occurs due to damage of growth centre and loss

of function. To take care of this residual deformity,

a costochondral graft is placed in which the

cartilage acts as a growth centre and compensates

by growth of this area. This surgery results

in achieving gradual symmetrical growth.

Only gap arthroplasty or (B) or (D) lacks this

advantage.

2 D. Preauricular incision has the advantage

.1. Aesthetic incision line-covered in hair, shadow

of ear

2. Better access

3. Better control of bleeding

4. Easy to master.

3 A. Basic principles of treatment of TMJ ankylosis

are

1. Achieve function: by gap arthroplasty

2. To prevent relapse: by interposing some

material such as muscle, fascia, costochondral

graft, etc in gap so created by gap arthroplasty

procedure

3. To compensate for residual deformity by

growth of interposed costochondral graft

4. To obtain balanced functional occlusion by

orthodontic treatment
5. To obtain facial harmony by orthognathic

surgery.

4 D. Rate of incidence

Trauma > middle ear infection > rheumatoid

arthritis.

5 D. Though most commonly internal maxillary

artery has been considered to be the cause of

such bleeding. To prevent injury to this artery

during TMJ surgery a safe side retractor is

always placed medial to neck of mandible.

24.