Multidisciplinary management of temporomandibular joint ankylosis in an adult: journey from arthroplasty to oral rehabilitation
Open Access
- 16 September 2021
- journal article
- research article
- Published by BMJ in BMJ Case Reports
- Vol. 14 (9), e245120
- https://doi.org/10.1136/bcr-2021-245120
Abstract
Ankylosis of the temporomandibular joint is a debilitating condition resulting in progressive trismus and facial disfigurement. Common trigger factors include paediatric mandibular trauma, middle ear infection or traumatic childbirth. Although diminishing in incidence among urban population, it is still prevalent in the underprivileged world. Substandard child safety norms, delayed presentation, lack of access to specialties like maxillofacial surgery in rural areas and absence of follow-up contribute to ankylosis. Afflictions in ankylosis are multipronged, involving aesthetic, functional, psychological and nutritional implications to name a few. The damage this pathology causes to the young mind and their morale is humongous. Although well documented, a complete presentation of cases with follow-up till oral and myofascial rehabilitation is seldom reported. This paper describes multidisciplinary management of a young female patient with temporomandibular joint ankylosis. Staged management commencing from interpositional arthroplasty until dental restoration with a 2-year follow-up is presented in this paper.Keywords
This publication has 18 references indexed in Scilit:
- Simultaneous gap arthroplasty and intraoral distraction and secondary contouring surgery for unilateral temporomandibular joint ankylosis.Maxillofacial Plastic and Reconstructive Surgery, 2016
- An institutional experience in the management of pediatric mandibular fractures: A study of 74 casesJournal of Cranio-Maxillofacial Surgery, 2015
- Factors Influencing Treatment Plan and Post Operative Compliance in TMJ Ankylosis Patients: A Retrospective Analysis of Long Term Post Surgical EvaluationJournal of Maxillofacial and Oral Surgery, 2014
- New protocol to prevent TMJ reankylosis and potentially life threatening complications in triad patientsInternational Journal of Oral & Maxillofacial Surgery, 2012
- An epidemiological study of temporomandibular joint ankylosisNational Journal of Maxillofacial Surgery, 2012
- Efficacy of Temporomandibular Joint Ankylosis Surgical TreatmentJournal of Oral and Maxillofacial Surgery, 2010
- A Protocol for Management of Temporomandibular Joint Ankylosis in ChildrenJournal of Oral and Maxillofacial Surgery, 2009
- Management of unilateral temporomandibular ankylosis associated with facial asymmetryJournal of Cranio-Maxillofacial Surgery, 1997
- Simultaneous Total Correction of Temporomandibular Ankylosis and Facial AsymmetryPlastic and Reconstructive Surgery, 1986
- A modified pre-auricular approach to the temporomandibular joint and malar archBritish Journal of Oral Surgery, 1979