Interpositional arthroplasty with temporalis myofascial flap reconstruction in a case of temporomandibular joint bony ankylosis: a case report and review of literature

The report describes the treatment of a 30 year old female patient having unilateral right temporomandibular joint (TMJ) bony ankylosis whose mouth opening was restricted to 5 mm and had additional mandibular retrognathism causing severe mastication problems besides speech difficulties and low moral...

Full description

Saved in:
Bibliographic Details
Published inInternational Surgery Journal Vol. 7; no. 1; p. 295
Main Authors Vishwani, Ankit, Arora, Vipin, Goyal, Kavita, Arya, Suvercha, Khan, Mohsin
Format Journal Article
LanguageEnglish
Published 26.12.2019
Online AccessGet full text

Cover

More Information
Summary:The report describes the treatment of a 30 year old female patient having unilateral right temporomandibular joint (TMJ) bony ankylosis whose mouth opening was restricted to 5 mm and had additional mandibular retrognathism causing severe mastication problems besides speech difficulties and low morale. The ankylosis had resulted in facial asymmetry due to bony hard swelling in front of right tragus. The patient was taken up for right interpositional arthroplasty with temporalis myofascial flap reconstruction by pre auricular approach and left coronoidectomy by intraoral approach as a preferred technique. A satisfactory mouth opening of 33 mm was achieved in immediate post-operative. Patient was followed up with aggressive mouth opening exercises in postoperative period.
ISSN:2349-3305
2349-2902
DOI:10.18203/2349-2902.isj20195989