Open Access Open Access  Restricted Access Subscription Access

Management of Temporomandibular Joint Ankylosis


Affiliations
1 GNRC 6 Mile, Nemcare Hospital, GATE Hospital, India
2 Essential Dental Care, GNRC 6 Mile Hospital, India
3 GNRC 6 Mile Hospital, India
4 Dept. of ENT, GNRC 6 Mile Hospital, India
5 GNRC 6 Mile, India
6 Nemcare Hospital, India
 

Temporomandibular Joint (TMJ) ankylosis is a pathologic condition caused by fusion of the mandible to the mandibular fossa by bony or fibrous tissue. It is extremely disabling as it interferes with mastication, speech, oral hygiene and other day to day activities. It can also be life threatening when struggling to acquire airway in emergencies. In this case report we present 2 cases of TMJ ankylosis, the first Case is of a 10 year old female, where Gap arthroplasty was done to enable normal mouth opening. The second case is Final correction of severe Facial deformity due to TMJ ankylosis in a 24 year old female. Conclusion: It is important that TMJ Ankylosis is identified and corrected at an early age so as to prevent complications in future, to create awareness about TMJ disorders and their complete management. TMJ ankylosis normally requires multiple surgeries at different stages so as to obtain optimum results and to let the patient lead a normal life.

Keywords

TMJ, Ankylosis, Retrognathia, Gap Arthroplasty, Orthognathic Surgery, Distraction Osteogenesis.
User
Notifications
Font Size

  • Ghada Amin Khalifa. Monitoring of incremental changes in maximum interincisal opening after gap arthroplasty omits the risk of re-ankylosis. Journal of Cranio-Maxillo-Facial Surgery xxx 2017;1-7.
  • Glenn E Lelo. Surgical correction of temporomandibular joint ankylosis. J Craniomaxillofac Surg 1990;18:19-26.
  • V Bansal.Transport distraction osteogenesis as a method of reconstruction of the temporomandibular joint following gap arthroplasty for post-traumatic ankylosis in children: a clinical and radiological prospective assessment. Int J Oral Maxillofac Surg 2014;43:227-36.
  • Kaban LB. A protocol for management of temporomandibular joint ankylosis. J Oral Maxillofac Surg 1990;48:1145–52.
  • Ahmed Talaat Temerek. Conservative gap arthroplasty in temporomandibular ankylosis not involving the sigmoid notch:a selected age group study. British Journal of Oral and Maxillofacial Surgery 2016;54:38–43.
  • Moss ML, Salentijn L. The primary role of functional matrices in facial growth. Am J Orthod 1969;55:566–77.
  • T Dreiseidler. Three-dimensional fracture pattern analysis of the obwegeser and dal pont bilateral sagittal split osteotomy. Int J Oral Maxillofac Surg 2016;45:1452–8.
  • Schuchardt K. Ein Beitragzurchirurgischen Kieferorthopadieunter Berucksichtigungihrer Bedeutung fur die Behandlungangeborener und erworbener KieferdeformitatenbeiSoldaten. Dt Zahn Mund Kieferhk 1942;9:73–89.
  • JP Verweij, G Mensink, M Fiocco, JPR Van. Merkesteyn: Incidence and recovery of neurosensory disturbances after bilateral sagittal split osteotomy in different age groups: a retrospective study of 263 patients. Int J Oral Maxillofac Surg 2016;45:898–903.

Abstract Views: 49

PDF Views: 0




  • Management of Temporomandibular Joint Ankylosis

Abstract Views: 49  |  PDF Views: 0

Authors

Rahul Gogoi
GNRC 6 Mile, Nemcare Hospital, GATE Hospital, India
A. Prasanna
Essential Dental Care, GNRC 6 Mile Hospital, India
Debashree Bora
GNRC 6 Mile Hospital, India
Miklu Senapati
Dept. of ENT, GNRC 6 Mile Hospital, India
Arup Sharma
GNRC 6 Mile, India
Mahanta Nipan
Nemcare Hospital, India

Abstract


Temporomandibular Joint (TMJ) ankylosis is a pathologic condition caused by fusion of the mandible to the mandibular fossa by bony or fibrous tissue. It is extremely disabling as it interferes with mastication, speech, oral hygiene and other day to day activities. It can also be life threatening when struggling to acquire airway in emergencies. In this case report we present 2 cases of TMJ ankylosis, the first Case is of a 10 year old female, where Gap arthroplasty was done to enable normal mouth opening. The second case is Final correction of severe Facial deformity due to TMJ ankylosis in a 24 year old female. Conclusion: It is important that TMJ Ankylosis is identified and corrected at an early age so as to prevent complications in future, to create awareness about TMJ disorders and their complete management. TMJ ankylosis normally requires multiple surgeries at different stages so as to obtain optimum results and to let the patient lead a normal life.

Keywords


TMJ, Ankylosis, Retrognathia, Gap Arthroplasty, Orthognathic Surgery, Distraction Osteogenesis.

References