Temporomandibular Joint Ankylosis as a Complication of Neonatal Septic Arthritis: Report of two cases

Al-Saadi, N.; Bakathir, A.; Al-Hashmi, A.; Al-Ismaili, Mohammad I.

doi:10.18295/squmj.2015.15.04.020

Cited by 4 publications

(6 citation statements)

References 9 publications

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“…3,5 While there are many aetiological factors for TMJ ankylosis, trauma is the most common, followed by infections. 1,3 In the current case, the aetiology of the ankylosis was unknown; this is unusual as most previous research generally reports a causative factor. 6 Paediatric TMJ ankylosis is uncommon and represents a challenge in the practice of oral and maxillofacial surgery.…”

Section: Discussionmentioning

confidence: 66%

“…Ankylosis of the TMJ is a chronic disease that destroys the structure and articulation of the joint, leading to hypomobility of the jaw due to the abnormal union between the mandibular condyle and the base of the skull. 1,2,5 The partial or complete replacement of the normal joint space determines the degree of hypomobility. 3,5 While there are many aetiological factors for TMJ ankylosis, trauma is the most common, followed by infections.…”

Section: Discussionmentioning

confidence: 99%

“…A clinical examination revealed T emporomandibular joint (tmj) ankylosis is defined as the replacement and/or fusion of the joint articular surfaces by fibrous, fibro-osseous or bony tissue resulting in the mandibular condyle becoming partially or completely joined to the skull base. 1,2 There are multiple aetiological factors for TMJ ankylosis, including trauma, infections, surgical procedures and systemic diseases like rheumatoid arthritis, ankylosing spondylitis and psoriasis. [1][2][3] In growing children, TMJ ankylosis can pose many challenges and is often associated with multiple functional and aesthetic complications such as mandibular growth retardation leading to retrognathia, micrognathia or dental malocclusion.…”

Section: Case Reportmentioning

confidence: 99%

“…1,2 There are multiple aetiological factors for TMJ ankylosis, including trauma, infections, surgical procedures and systemic diseases like rheumatoid arthritis, ankylosing spondylitis and psoriasis. [1][2][3] In growing children, TMJ ankylosis can pose many challenges and is often associated with multiple functional and aesthetic complications such as mandibular growth retardation leading to retrognathia, micrognathia or dental malocclusion. 3 Surgical management was planned in two stages.…”

Section: Case Reportmentioning

confidence: 99%

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

Al-Nuumani

Bakathir

Al-Hashmi

et al. 2018

Sultan Qaboos Univ Med J

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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.

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Section: Discussionmentioning

confidence: 66%

Section: Discussionmentioning

confidence: 99%

Section: Case Reportmentioning

confidence: 99%

Section: Case Reportmentioning

confidence: 99%

See 2 more Smart Citations

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

Al-Nuumani

Bakathir

Al-Hashmi

et al. 2018

Sultan Qaboos Univ Med J

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“…Septic arthritis of the temporomandibular joint (SATMJ) is a rarely reported disease characterized by pain, fever, swelling and even loss of TMJ function. In the past decades, only a few dozen cases of SATMJ have been reported; however, an increasing number of cases of SATMJ in children and adults have been reported in recent years ( 1 – 4 ). The disease predominantly occurs in male adults, the mortality rate of SATMJ is as high as 12%, and up to 75% of survivors develop significant functional disability in the involved joints ( 5 ).…”

Section: Introductionmentioning

confidence: 99%

Severe septic arthritis of the temporomandibular joint with pyogenic orofacial infections: A case report and review of the literature

Xiao

Feng

Huang

et al. 2017

Experimental and Therapeutic Medicine

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Septic arthritis of the temporomandibular joint (SATMJ) is a rare entity that has only been reported a few dozen times worldwide. However, SATMJ is an acute infectious disease and associated with a high risk for misdiagnosis, which results in severe complications for patients. The present study reported a case of an 83-year-old female patient with severe pyogenic orofacial infections caused by right-side SATMJ, which was not cured by abscess incision drainage and anti-microbial treatment. Finally, the clinical signs were resolved by condylectomy and debridement of the erosive septic TMJ, after which the function of the TMJ was completely restored. In conclusion, a timely and correct diagnosis with early treatment is critical to preventing acute complications and late sequelae of SATMJ. In addition, literature associated with this topic was reviewed and discussed.

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Ankylosis of the Temporomandibular Joint in Pediatric Patients

Rozanski

Wood

Sanati-Mehrizy

et al. 2019

Journal of Craniofacial Surgery

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Introduction: While surgical interventions for temporomandibular joint (TMJ) ankylosis are well-documented, there is lack of consensus regarding the ideal approach in pediatric patients. Surgical interventions include gap arthroplasty, interpositional arthroplasty, or total joint reconstruction. Methods: A systematic review of PubMed (Jan 1, 1990–Jan 1, 2017) and Scopus (Jan 1, 1990–Jan 1, 2017) was performed and included studies in English with at least one patient under the age of 18 diagnosed with TMJ ankylosis who underwent surgical correction. Primary outcomes of interest included surgical modality, preoperative maximum interincisal opening (MIO) (MIOpreop), postoperative MIO (MIOpostop), ΔMIO (ΔMIO = MIOpostop – MIOpreop), and complications. Results: Twenty-four case series/reports with 176 patients and 227 joints were included. By independent sample t tests MIOpostop (mm) was greater for gap arthroplasty (30.18) compared to reconstruction (27.47) (t = 4.9, P = 0.043), interpositional arthroplasty (32.87) compared to reconstruction (t = 3.25, P = 0.002), but not for gap compared to interpositional (t = −1.9, P = 0.054). ΔMIO (mm) was greater for gap arthroplasty (28.67) compared to reconstruction (22.24) (t = 4.2, P = 0.001), interpositional arthroplasty (28.33) compared to reconstruction (t = 3.27, P = 0.002), but not for interpositional compared to gap (t = 0.29, P = 0.33). Weighted-average follow-up time was 28.37 months (N = 164). 4 of 176 (2.27%) patients reported development of re-ankylosis. There was no significant difference in occurrence of re-ankylosis between interventions. Conclusions: Given the technical ease of gap arthroplasty and nonsignificant differences in ΔMIO, MIOpostop, or occurrence of re-ankylosis between gap and interpositional arthroplasty, gap arthroplasty should be considered for primary ankylosis repair in pediatric patients, with emphasis on postoperative physiotherapy to prevent recurrent-ankylosis.

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Temporomandibular Joint Ankylosis as a Complication of Neonatal Septic Arthritis: Report of two cases

Cited by 4 publications

References 9 publications

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

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

Severe septic arthritis of the temporomandibular joint with pyogenic orofacial infections: A case report and review of the literature

Ankylosis of the Temporomandibular Joint in Pediatric Patients

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