Temporomandibular joint ankylosis in child: a case report

Ankylosis of the temporomandibular joint (TMJ) is an intracapsular union of the disc-condyle complex to the temporal articular surface that restricts mandibular movements, including the fibrous adhesions or bony fusion between condyle, disc, glenoid fossa, and eminence. It is a serious and disabling...

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Bibliographic Details
Published inJournal of the Indian Society of Pedodontics and Preventive Dentistry Vol. 33; no. 2; p. 166
Main Authors Hegde, Rahul J, Devrukhkar, Vishakha N, Khare, Sumedh S, Saraf, Tanvi A
Format Journal Article
LanguageEnglish
Published India 01.04.2015
Subjects
Ankylosis - physiopathology
Ankylosis - surgery
Child
Female
Humans
Physical Therapy Modalities
Surgical Flaps
Temporal Muscle - transplantation
Temporomandibular Joint Disorders - physiopathology
Temporomandibular Joint Disorders - surgery
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Summary:Ankylosis of the temporomandibular joint (TMJ) is an intracapsular union of the disc-condyle complex to the temporal articular surface that restricts mandibular movements, including the fibrous adhesions or bony fusion between condyle, disc, glenoid fossa, and eminence. It is a serious and disabling condition that may cause problems in mastication, digestion, speech, appearance, and hygiene. This report describes a case of a 12-year-old girl with inability to open her mouth, diagnosed with unilateral right bony TMJ ankylosis. The surgical approach consisted of gap arthroplasty with interpositional temporalis muscle flap followed by vigorous physiotherapy. The treatment of TMJ ankylosis poses a significant challenge because of technical difficulties and a high incidence of recurrence. Its treatment includes the orthodontist, oral and maxillofacial surgeon, pediatric dentist, and psychologist and physical therapist as part of the healthcare team.
ISSN:1998-3905