Temporomandibular joint ankylosis in child: A case report

Hegde, Rahul J; Devrukhkar, Vishakha N; Khare, Sumedh S; Saraf, Tanvi

doi:10.4103/0970-4388.155136

Cited by 6 publications

(5 citation statements)

References 5 publications

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“…The patients in the study dominantly presented with micrognathic deformities which coincide with de Castro e Silva et al results, conversely it is in contrast with Liaqat et al results in which the patient presented with retrognathia and Rahul Hegde et al findings in which the patient presented with both micrognathia and retrognathia [17][18][19].…”

Section: Treatment Number Percentagecontrasting

confidence: 55%

Temporomandibular Joint Ankylosis Pattern, Causes and Management among a Sample of Sudanese Children

Eltohami¹,

Abuaffan²,

Alsagh³

et al. 2017

J Den Craniofac Res

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Background: Temporomandibular joint ankylosis is the fusion of mandibular condyle to the glenoid fossa, which causes distressing conditions. It may be due to trauma or infection. The aim of this study is to determine the frequency of TMJ Ankylosis in Khartoum teaching dental hospital among children. Materials and methods:A retrospective cross sectional study for 48 patients (32 male, 16 female) aged 0-18 years old. Data were collected from patients records registered from January 2009 to April 2015.Results: Males were more affected than females, the most affected age group was 7-12 years old, bilateral ankylosis more common than unilateral, intra capsular ankylosis is the most common type, and micrognathia is the most common deformity. 41 patients received treatment, coronoidectomy with condylectomy and physiotherapy is the most preferable treatment method. Also Condylectomy + Gap arthroplasty + Physiotherapy and Gap arthroplasty + Coronoidectomy + Physiotherapy were used. In some cases physiotherapy overcome the ankylosis, and only 7 patients didn't receive any type of treatment. Conclusion:The prevalence of TMJ ankylosis among children was high; the most common causes were trauma and infection, whereas most of patients came with intracapsular type ankylosis in children leads to facial deformities. Improvement of awareness regarding condyle fracture is required. TMJ Ankylosis is fusion of the mandibular condyle to the glenoid fossa in the base of the skull, which causes distressing conditions such as impaired speech, difficulty in chewing, poor oral hygiene, facial disfigurement, compromise of the airway, and psychological stress [2].Various etiological factors had been attributed to TMJ ankylosis; trauma, local and systemic inflammatory conditions, neoplasm, and TMJ infection. The most frequent one trauma and infection [3].Fractures of the condylar head are more prone to postoperative ankylosis of the TMJ, and that the possible risk factors seem to include the technique used for fixation and damage to the disc, together with an anterior mandibular fracture and with the remaining fractured fragment [4]. Bilateral TMJ ankylosis caused by systemic infection is reported [4]. The clinical findings of TMJ ankylosis in children in unilateral ankylosis reveal unilateral hypoplasia of the mandible and deviation of the chin to the affected side. Bilateral ankylosis results in bird-face appearance; night snoring and obstructive sleep apneas are the other clinical findings in bilateral ankylosis [5]. Later joint involvement after 15 years of facial deformity is marginal or nil but functional loss is severe [6].TMJ imaging comprise; plain radiography, panoramic radiography, tomograms, conventional CT, arthrography, three dimensional CT, magnetic resonance imaging, ultrasonography, and radionuclide imaging [7,8].The management goal in TMJ ankylosis is removal of the ankylotic mass, restoring the form and function of the joint, mouth opening, relief of upper airway obstruction, and prevention of recurrence [9].A numb...

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Section: Treatment Number Percentagecontrasting

confidence: 55%

Temporomandibular Joint Ankylosis Pattern, Causes and Management among a Sample of Sudanese Children

Eltohami¹,

Abuaffan²,

Alsagh³

et al. 2017

J Den Craniofac Res

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“…Similarly, Hegde et al . 7 reported history of trauma as a cause of ankylosis in a 12-year-old patient, and Gupta et al 8 also found trauma as the most common cause of ankylosis in 90% of surveyed children. In the present case Interpositional arthroplasty was done under G.A with postoperative physiotherapy to prevent reankylosis, which was consistent with a similar study done by Hegde et al 7 and Goel et al 9…”

Section: Discussionmentioning

confidence: 98%

Dental Rehabilitation Following Surgical Management of Temporomandibular Joint Ankylosis: An Interdisciplinary Approach

Patidar

Fry

Sogi

et al. 2020

International Journal of Clinical Pediatric Dentistry

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Temporomandibular joint ankylosis (TMJ) is a condition affecting mastication, speech, appearance, and oral hygiene to a major extent. The disease is manifested by restriction to complete failure of the TMJ movement due to fibrous or bony union between the condylar head and glenoid fossa. This case report describes a case of a 13-year-old girl with inability to open the mouth along with fractured and discolored anterior teeth due to trauma. Patient was diagnosed as unilateral bony TMJ ankylosis left side and managed by surgical procedure interpositional arthroplasty followed by physiotherapy. Following satisfactory mouth opening, the required dental rehabilitation procedures were done. Combined efforts of pediatric dentists and oral and maxillofacial surgeon with a detailed history, clinical and radiographic assessment helps in correct diagnosis and providing immediate surgical intervention along with the management of associated dental complications in order to reestablish physical and psychological health of the child patient. How to cite this article Patidar D, Fry RR, Sogi S, et al. Dental Rehabilitation Following Surgical Management of Temporomandibular Joint Ankylosis: An Interdisciplinary Approach. Int J Clin Pediatr Dent 2020;13(2):203–205.

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“…Temporomandibular joint ankylosis, which refers to immobility secondary to ankylotic fusion of the mandible to the cranial base or zygoma, is a disabling condition itself [Lima et al, 2011;Hegde et al, 2015]. If associated with CFZS, temporomandibular joint ankylosis worses hypotonia and facial palsy in limiting the mouth opening.…”

Section: Discussionmentioning

confidence: 99%

Temporomandibular joint ankylosis as part of the clinical spectrum of Carey–Fineman–Ziter syndrome?

Pasetti

Mazzoleni

Novelli

et al. 2016

American J of Med Genetics Pt A

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The Carey-Finema-Ziter syndrome (CFZS, MIM 254940) is an apparently autosomal recessively inherited disorder consisting of the combination of non-progressive congenital myopathy with Moebius and Pierre Robin sequence, facial anomalies and growth delay. Mental development has been described as normal or delayed. Temporomandibular joint (TMJ) ankylosis is the immobility of the joint caused by ankylotic fusion of the mandible to the cranial base or zygoma. It is a serious and disabling condition that may cause problems in mastication, digestion, speech, appearance, and oral hygiene. Most often is a true ankylosis of the TMJ but other pathological mechanisms are described (i.e., the fusion of the coronoid process to temporal bone or with the zygoma, or a variety of soft tissues disorders like Fibrodysplasia Ossificans Progressiva). Here we report a 2-year-old girl fitting with a clinical diagnosis of CFZS associated with a limited mouth opening in which temporomandibular joint ankylosis was suspected. Because it has been postulated that many clinical features in CFZS may only be secondary effects of brainstem anomalies and muscle weakness during development, the limited opening of the mouth observed in our patient could represent a rare clinical feature of CFZS itself. © 2016 Wiley Periodicals, Inc.

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Temporomandibular joint ankylosis in child: A case report

Cited by 6 publications

References 5 publications

Temporomandibular Joint Ankylosis Pattern, Causes and Management among a Sample of Sudanese Children

Temporomandibular Joint Ankylosis Pattern, Causes and Management among a Sample of Sudanese Children

Dental Rehabilitation Following Surgical Management of Temporomandibular Joint Ankylosis: An Interdisciplinary Approach

Temporomandibular joint ankylosis as part of the clinical spectrum of Carey–Fineman–Ziter syndrome?

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