Ankylosis of the temporomandibular joint

Treatment of TMJ ankylosis in Jordanian children – a comparison of two surgical techniques

“…If left untreated, an ankylosis of the TMJ in early childhood will lead to malocclusion and facial disfigurement. The aim of early treatment is to restore the mandibular mobility and to enhance further growth in order to reduce the possibility of future facial asymmetry (Alexander, 1978;El-Mofty, 1979;Ohno et al, 1981;Ware and Brown, 1981;Fortunato et al, 1982;Farmand et al, 1989;Schobel et al, 1992).…”

Temporomandibular joint morphology following post-traumatic ankylosis in 26 patients

“…A report from Australia described 15 patients with posttraumatic ankylosis, all of which were preceded by a medial fracture dislocation of the mandibular condyle 15 . Further random reports of ankylosis reveal that this association is common 14,20,23 .…”

“…Secondly, an intact disk may act as a physical impediment to transarticular bony fusion 9,11 . Thirdly, the age of the patient at the time of injury is a key variable and it is conventional wisdom that ankylosis is more commonly a complication of a condylar fracture suffered in childhood 4,9,15,[17][18][19][20]25 . Finally the type of fracture may determine the outcome of a condylar injury 4,9,15,17 .…”

“…Of these, by far the most common preceding cause is traumatic injuries of the temporomandibular articulation 9,15,[17][18][19][20]25 . Whilst a clear (albeit sporadic) association exists between traumatic injuries of the mandibular condyle and ankylosis of the TMJ, the cascade of events that follow condylar fracture and ultimately culminate in TMJ ankylosis awaits elucidation.…”

Autogenous Reconstructive Modalities of TMJ Ankylosis-A Retrospective Analysis of 45 Cases

“…Aggressive physiotherapy was continued for 1 year to maintain optimal results [6,9,[31][32][33]. Hence to prevent relapse, early surgical intervention, aggressive resection of the ankylotic mass should be performed, regardless of age of the patient [6,34].…”