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

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.

scholarly journals Treatment of Atypical Bifid Mandibular Condyle Associated with Ankylosis of the Temporomandibular Joint

2019 ◽  
Vol 2019 ◽  
pp. 1-8
Author(s):  
Katheleen Miranda ◽  
André Sander Carneiro ◽  
Jennifer Tsi Gerber ◽  
Suyany Gabriely Weiss ◽  
Leandro Eduardo Klüppel ◽  
...  
Keyword(s):  
Temporomandibular Joint ◽  
Treatment Plan ◽  
Mandibular Condyle ◽  
Mouth Opening ◽  
Facial Asymmetry ◽  
Lateral Deviation ◽  
Tmj Ankylosis ◽  
History Of ◽  
The Right

Introduction. The bifid mandibular condyle (BMC) is an unusual temporomandibular joint (TMJ) disorder with controversial etiology. The association of this entity with ankylosis is rare. Objective. The objective of the present study is to report a case of BMC with associated TMJ ankylosis in a patient with no history of trauma and/or infection. Case Report. A 17-year-old male patient sought care reporting pain on the right TMJ region and mastication difficulty due to a severe limitation of mouth opening. In the clinic and imaging examinations, a 15 mm mouth opening and BMC associated with ankylotic mass of the right TMJ were observed, besides a facial asymmetry with chin deviation to the right. The proposed treatment plan was condylectomy on the right side, bilateral coronectomy, and genioplasty, so the chin lateral deviation could be corrected, under general anesthesia. The patient remains under clinical and imaging follow-up of two years with functional stability and no signs of relapse of the ankylosis. Conclusion. The association of BMC with ankylosis is an atypical entity which must be diagnosed and treated early to prevent aesthetic and functional damages to the patient.

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

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.

scholarly journals A Triad of Temporomandibular Joint Ankylosis, Mandibular Retrognathia and Severe Obstructive Sleep Apnoea: Case report

2018 ◽  
Vol 18 (3) ◽  
pp. 379 ◽  
Author(s):  
Issa K. Al-Nuumani ◽  
Abdulaziz Bakathir ◽  
Ahmed Al-Hashmi ◽  
Mohammed Al-Abri ◽  
Hussein Al-Kindi ◽  
...  
Keyword(s):  
Case Report ◽  
Temporomandibular Joint ◽  
Obstructive Sleep Apnoea ◽  
Mouth Opening ◽  
Sleep Apnoea ◽  
Temporomandibular Joint Disorders ◽  
University Hospital ◽  
Tmj Ankylosis ◽  
Obstructive Sleep ◽  
Mandibular Retrognathia

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.

Coronoidoplasty in TMJ ankylosis treatment

2020 ◽  
Vol 13 (8) ◽  
pp. e235698
Author(s):  
Daniel Sathiya Sundaram Selvaraj ◽  
Ajish George Ommen ◽  
Jagadish Ebenezer
Keyword(s):  
Temporomandibular Joint ◽  
Treatment Protocol ◽  
Mouth Opening ◽  
Facial Asymmetry ◽  
Open Bite ◽  
Surgical Removal ◽  
Tmj Ankylosis ◽  
Temporomandibular Joint Ankylosis ◽  
The Past ◽  
Joint Ankylosis

A 2-year-old boy was brought by his parents with complaints of difficulty in mouth opening for the past one and half years. He had difficulty in chewing and was malnourished, with developing facial asymmetry. He was diagnosed with right side temporomandibular joint ankylosis. We planned for surgical removal of the ankylotic mass. But we modified the treatment protocol. Instead of doing coronoidectomy after aggressive excision of the ankylotic mass as advocated by Kaban, we did a ‘coronoidoplasty’ after aggressive excision of the ankylotic mass. Coronoidotomy or coronoidectomy is one of the rungs in the treatment ladder that is followed in surgical management of temporomandibular joint ankylosis. But one of the postoperative complications after coronoidectomy is the open bite. The difficulty to close the mouth becomes more pronounced when bilateral coronoidectomy is done. However, ‘coronoidoplasty’, as we have done for this patient retains the action of the temporalis muscle on the mandible in closing the mouth, yet removes the mechanical interference of the coronoid process. Postoperatively the patient was able to clench his teeth well, chew properly and there was no open bite.

scholarly journals Adult Sized Fibreoptic Bronchoscope Aided Nasal Intubation In A Child with Left Sided Temporomandibular Joint Ankylosis

2015 ◽  
Vol 12 (1) ◽  
pp. 49-51
Author(s):  
Ashish Ghimire ◽  
B Bhattarai ◽  
A Subedi ◽  
S Koirala
Keyword(s):  
Temporomandibular Joint ◽  
Pediatric Patients ◽  
Mouth Opening ◽  
Fibreoptic Bronchoscope ◽  
Tooth Decay ◽  
Nasal Intubation ◽  
Limited Mouth Opening ◽  
Tmj Ankylosis ◽  
History Of ◽  
Joint Ankylosis

In temporomandibular joint (TMJ) ankylosis, direct laryngoscopy and intubation are not feasible. The scenario becomes more challenging in paediatric patients. The best technique would be fibreoptic bronchoscope (FOB) aided nasal intubation. We report successful nasal intubation with the aid of orally placed adult sized fibreoptic bronchoscope in a child with a limited mouth opening. A 6-yr-old child was brought with history of inability to open the mouth. Diagnosis of left sided TMJ ankylosis was made and interpositional arthoplasty was planned. Airway examination revealed interincisor gap of 4.6 mm. Due to tooth decay, a maximum mouth opening of 5.2 mm was observed on the left side. The airway was successfully secured through the nasal route aided by the adult sized bronchoscope inserted orally through the gap between the eroded upper and the lower teeth. Adult sized fibreoptic bronchoscope may be useful in aiding nasal intubation in pediatric patients if the mouth opening permits its introduction orally.DOI: http://dx.doi.org/10.3126/hren.v12i1.11986Health Renaissance 2014;12(1):49-51

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

2017 ◽  
Vol 74 (4) ◽  
pp. 374-377 ◽  
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.

scholarly journals Use of vascularised cartilage as an additional interposition in temporomandibular ankylosis surgery: Rationale, advantages and potential benefits

2008 ◽  
Vol 41 (02) ◽  
pp. 110-115
Author(s):  
Mukund Jagannathan ◽  
Maksud Devale ◽  
Prashantha Kesari ◽  
Siddharth Karanth
Keyword(s):  
Temporomandibular Joint ◽  
Articular Surface ◽  
Superficial Temporal Artery ◽  
Mouth Opening ◽  
Temporal Artery ◽  
Long Term Results ◽  
Success Rates ◽  
Tmj Ankylosis ◽  
Potential Applicability ◽  
Bony Segment

ABSTRACT Context: Surgery for the release of temporomandibular joint (TMJ) ankylosis is a commonly performed procedure. Various interposition materials have been tried with varying success rates. However, none of these procedures attempt to recreate the architecture of the joint as the glenoid surface is usually left raw. Aims: We aimed to use a vascularised cartilage flap and to line the raw surface of the bone to recreate the articular surface of the joint. Settings and Design: There is a rich blood supply in the region of the helical root, based on branches from the Superficial Temporal Artery (STA), which enables the harvest of vascularised cartilage from the helical root for use in the temporomandibular joint. Materials and Methods: Two cases, one adult and the other a child, of unilateral ankylosis were operated upon using this additional technique. The adult patient had a bony segment excised along with a vascularised cartilage flap for lining the glenoid. The child was managed with an interposition graft of costochondral cartilage following the release of the ankylosis, in addition to the vascularised cartilage flap for lining the glenoid. Results: The postoperative mouth opening was good in both the cases with significant reduction in pain. However, the long-term results of this procedure are yet to be ascertained. Conclusions: The vascularised cartilage flap as an additional interposition material in temporomandibular joint surgery enables early and painless mouth-opening with good short-term results. The potential applicability of this flap in various pathologies of the temporomandibular joint is enormous.

scholarly journals Temporomandibular joint alterations: two clinical case-reports of bifid condyle and temporomandibular joint ankylosis

Revista CEFAC ◽  
2019 ◽  
Vol 21 (2) ◽  
Author(s):  
Mariana Campos Limongi ◽  
Flávio Ricardo Manzi ◽  
José Benedito Fonseca Limongi
Keyword(s):  
Case Report ◽  
Temporomandibular Joint ◽  
Case Reports ◽  
Temporomandibular Joint Disorders ◽  
Psychological State ◽  
Facial Trauma ◽  
Temporomandibular Joint Ankylosis ◽  
History Of ◽  
Joint Ankylosis ◽  
Bifid Condyle

ABSTRACT The etiology of alterations of the temporomandibular joint, such as ankylosis and bifid condyle, comprises several causes including trauma. However, otological infections cannot be overlooked as a probable cause of alterations of the temporomandibular joint, because the proximity between the external auditory canal and the temporomandibular joint facilitates the spread of infection in the region. This article presents a case-report of a patient with bifid condyle of the temporomandibular joint, in which the patient had no history of facial trauma, but had suffered recurrent otitis infections during her childhood. In parallel, a second case-report is described of temporomandibular joint ankylosis in a 12-year-old patient with a history of facial trauma during her childhood. The purpose of this study was to highlight and emphasize the importance of early diagnosis of temporomandibular joint disorders to avoid the development of facial asymmetries, restore function, esthetics, and the psychological state of the patient.

scholarly journals Bilateral asymptomatic fibrous-ankylosis of the temporomandibular joint associated with rheumatoid arthritis: a case report

2012 ◽  
Vol 23 (6) ◽  
pp. 779-782 ◽  
Author(s):  
Carolina Ortigosa Cunha ◽  
Lívia Maria Sales Pinto ◽  
Luana Menezes de Mendonça ◽  
Aline Dantas Diógenes Saldanha ◽  
Ana Cláudia de Castro Ferreira Conti ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Temporomandibular Joint ◽  
Correct Diagnosis ◽  
Mouth Opening ◽  
Limited Range ◽  
Contralateral Side ◽  
Limited Mouth Opening ◽  
Tmj Ankylosis ◽  
Inflammatory Conditions ◽  
Limited Range Of Motion

The American Academy of Orofacial Pain (AAOP) defines ankylosis of the temporomandibular joint (TMJ) as a restriction of movements due to intracapsular fibrous adhesions, fibrous changes in capsular ligaments (fibrous-ankylosis) and osseous mass formation resulting in the fusion of the articular components (osseous-ankylosis). The clinical features of the fibrous-ankylosis are severely limited mouth-opening capacity (limited range of motion during the opening), usually no pain and no joint sounds, marked deflection to the affected side and marked limitation of movement to the contralateral side. A variety of factors may cause TMJ ankylosis, such as trauma, local and systemic inflammatory conditions, neoplasms and TMJ infection. Rheumatoid arthritis (RA) is one of the systemic inflammatory conditions that affect the TMJ and can cause ankylosis. The aim of this study is to present a case of a female patient diagnosed with bilateral asymptomatic fibrous-ankylosis of the TMJ associated with asymptomatic rheumatoid arthritis. This case illustrates the importance of a comprehensive clinical examination and correct diagnosis of an unusual condition causing severe mouth opening limitation.

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