Management of Unilateral Temporomandibular Joint (TMJ) Ankylosis in a Growing Child – A Case Report

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Management of Unilateral Temporomandibular Joint (TMJ) Ankylosis in a Growing Child – A Case Report

CS Yoong, K Adnan, SN Ramasamy: Management of Unilateral Temporomandibular Joint (TMJ) Ankylosis in a Growing Child – A Case Report. Mal. J. Oral Maxillofac. Surg. 2015; 13: 22–27.

Abstract: Temporomandibular joint (TMJ) ankylosis is a significant complication of untreated mandibular condyle fracture in growing children. It results in disturbance in mandibular growth and severe limitation of mouth opening which leads to difficulty in oral intake and speech, poor oral health and negatively affecting psychosocial performance. This case report describes the typical clinical presentation and management of a 14-year-old boy diagnosed with left TMJ ankylosis post trauma. Patient was treated surgically by left mandibular condyle gap arthroplasty with interpositional graft using temporalis myofascial flap and ipsilateral coronoidectomy. Aggressive physiotherapy was initiated immediately post surgery. Unfortunately, poor patient motivation and compliance towards active physiotherapy caused gradual decrease of mouth opening over time. Amid challenging surgical technique with high incidence of recurrence, patient’s cooperation is important in ensuring the long term success of treatment.