Juxta-articular ankylosis of the temporomandibular joint as an unusual cause of limitation of mouth opening: Case report

The surgical management of paediatric patients with temporomandibular joint (TMJ) ankylosis, mandibular retrognathia and obstructive sleep apnoea (OSA) is challenging. We report a nine-year-old boy who presented to the Department of Oral Health, Sultan Qaboos University Hospital, Muscat, Oman, in 2016 with complaints of limited mouth opening, loud snoring and excessive daytime sleepiness. He was diagnosed with TMJ ankylosis, mandibular retrognathia and severe OSA. The patient initially underwent mandibular distraction and, subsequently, release of the TMJ ankylosis and rib graft reconstruction. The overall patient outcome was successful, with improvement in OSA-related symptoms, good facial symmetry and adequate mouth opening.Keywords: Temporomandibular Joint Disorders; Temporomandibular Ankylosis; Retrognathia; Obstructive Sleep Apnea; Case Report; Oman.

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Functional and Aesthetic Outcome Following Simultaneous Temporomandibular Joint Ankylosis Release and Correction of Chin Discrepancy by Lower Border Osteotomy-A Case Report

Journal of Biomedical Research & Environmental Sciences ◽

10.37871/jbres1256 ◽

2021 ◽

pp. 439-442

Author(s):

Datarkar AN ◽

Anukula H ◽

Walke D ◽

Deshpande A ◽

Rai A

Keyword(s):

Case Report ◽

Temporomandibular Joint ◽

Mouth Opening ◽

Facial Asymmetry ◽

Tmj Ankylosis ◽

Facial Disfigurement ◽

Quality Life ◽

Old Adult ◽

Osteotomy Technique ◽

History Of

This is a case report of a 19 year old adult female with facial asymmetry secondary to right Temporomandibular Joint (TMJ) ankylosis with a history of previous surgery at the age of 10 years with gap arthroplasty for tmj ankylosis which was unsuccessful and lead to relapse .Because of decreased mouth opening and facial disfigurement patient was not able to have a quality life. She reported to our department where she got operated simultaneously for tmj ankylosis with interpositional arthroplasty using temporalis myofascial flap and novel osteotomy technique for correction of chin asymmetry. After surgery there is a significant improvement in patient both functionally and aesthetically.

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Total temporomandibular joint prosthesis as a surgical option for severe mouth opening restriction. A case report of a bilateral intervention

Reumatismo ◽

10.4081/reumatismo.2007.322 ◽

2011 ◽

Vol 59 (4) ◽

Author(s):

L. Guarda Nardini ◽

D. Manfredini ◽

S. Berrone ◽

G. Ferronato

Keyword(s):

Case Report ◽

Temporomandibular Joint ◽

Mouth Opening ◽

Joint Prosthesis ◽

Surgical Option

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Bilateral Dislocation of Mandibular Condyles following General Anesthesia—An Overlooked Problem: A Case Report

European Journal of Dentistry ◽

10.1055/s-0039-1693528 ◽

2019 ◽

Vol 13 (02) ◽

pp. 291-293 ◽

Cited By ~ 1

Author(s):

Mohd Toufeeq ◽

Murali Venkata Rama Mohan Kodali ◽

Srikanth Gunturu ◽

Kiran Kumar ◽

Kavya Surapaneni

Keyword(s):

Case Report ◽

General Anesthesia ◽

Temporomandibular Joint ◽

Traumatic Injury ◽

Mandibular Condyle ◽

Mouth Opening ◽

Orotracheal Intubation ◽

Temporal Fossa

AbstractDislocation of mandibular condyles can occur following excessive mouth opening or traumatic injury to the temporomandibular joint. It can also occur during general anesthesia that at times may go un-noticed in the modern-day theater setup. Here, we describe a case of bilateral dislocation of mandibular condyle following orotracheal intubation for general anesthesia. Right condyle was dislocated into temporal fossa.

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Eminectomy for the management of unilateral chronic, recurrent temporomandibular joint dislocation: a case report

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20195578 ◽

2019 ◽

Vol 6 (1) ◽

pp. 197

Author(s):

Sandeep Mehta ◽

Andrews Navin Kumar ◽

Gaurav Dua ◽

Shanender Singh Sambyal

Keyword(s):

Case Report ◽

Temporomandibular Joint ◽

Mouth Opening ◽

Clinical Entity ◽

Joint Dislocation ◽

Tmj Dislocation ◽

Masticatory Efficiency ◽

Temporomandibular Joint Dislocation

<p class="abstract">In this case reportunilateral chronic mandibular dislocation was managed by Myrhaug’s procedure (eminectomy). Temporomandibular joint (TMJ) dislocation is a uncommon clinical entity and surgery is a more definitive option when it’s come to the management chronic and recurrent TMJ dislocation. Eminectomy is shown to be efficient in preventing TMJ dislocations without affecting the maximum mouth opening, articulation and masticatory efficiency.</p><p class="abstract"> </p>

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Management of progressive facial asymmetry owing to a rare temporomandibular joint tumour: A case report

Journal of Orthodontics ◽

10.1177/1465312520908272 ◽

2020 ◽

Vol 47 (2) ◽

pp. 163-169

Author(s):

Geetanjali Sharma ◽

Mohammad Shorafa ◽

Gurdeep Hans

Keyword(s):

Case Report ◽

Temporomandibular Joint ◽

Male Patient ◽

Mouth Opening ◽

Facial Asymmetry ◽

Temporomandibular Joint Dysfunction ◽

Limited Mouth Opening ◽

History Of ◽

Slow Growing ◽

Park Hospital

Osteochondroma of the condyle is a rare, slow-growing, benign tumour of the temporomandibular joint that can result in facial asymmetry, limited mouth opening, temporomandibular joint dysfunction and malocclusion. The large majority of osteochondromas occur at the distal metaphysis of the femur and the proximal metaphysis of the tibia, whereas only 0.6% of osteochondromas have been reported as occurring in the craniofacial region. We discuss the diagnosis and treatment of a 56-year-old fit and well male patient who presented to the Orthodontic Department at Wexham Park Hospital with a four-year history of progressive facial asymmetry and functional concerns, owing to a rare osteochondroma of the condyle.

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Oral rehabilitation of a patient with temporomandibular joint ankylosis caused by ankylosing spondylitis: A case report

Vojnosanitetski pregled ◽

10.2298/vsp150522189b ◽

2017 ◽

Vol 74 (4) ◽

pp. 374-377 ◽

Cited By ~ 2

Author(s):

Zlata Brkic ◽

Nikola Pijevcevic ◽

Verica Pavlic ◽

Milan Petronijevic

Keyword(s):

Case Report ◽

Ankylosing Spondylitis ◽

Temporomandibular Joint ◽

Treatment Plan ◽

Mouth Opening ◽

Medical Attention ◽

Diagnostic Challenge ◽

Oral Rehabilitation ◽

Tmj Ankylosis ◽

Military Medical Academy

Introduction. Ankylosing spondylitis (AS)/Morbus Bechterew is a chronic inflammatory rheumatoid disease. The temporomandibular joint (TMJ) dysfunction is involved in 4?35% of AS cases, and is correlated to the severity and extension of AS. Even though AS-caused TMJ ankylosis is exceptional, one should have high index of suspicion of TMJ ankylosis in AS for an early detection, because it is an extremely serious and disabling condition that causes problems with mastication, swallowing, digestion, speech, appearance and poor oral hygiene with heavy caries. Case report. A 54-year-old male patient sought medical attention at the Department of Periodontology and Oral Medicine, Clinic for Dentistry at the Military Medical Academy, Belgrade, Serbia, with the chief complaint of pain in the area of the upper left canine in the presence of limited mouth opening. The treatment plan consisted of upper left canine management and rehabilitation of the remaining teeth in the frontal and the premolar region in both, the upper and lower jaw. Even though molar region needed to be treated, unfortunately it was not in the treatment plan because ankylosis of TMJ made the treatment impossible. Conclusions. The patients with AS-caused TMJ ankylosis are considered a diagnostic challenge to routine dentistry. Accent should be given to early diagnosis and multidisciplinary approach in the treatment of the AS patients towards the favorable disease course and outcome.

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