Transport distraction osteogenesis combined with orthodontic treatment in a patient with unilateral temporomandibular joint ankylosis

Jung, Seoyeon; Park, Jung Hyun; Park, Hyung-Sik; Baik, Hyoung-Seon

doi:10.1016/j.ajodo.2015.11.034

Cited by 5 publications

(1 citation statement)

References 16 publications

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“…The resultant restricted mouth opening and compromised functional movements associated with TMJ ankylosis contribute to mandibular growth impairment, often leading to observable manifestations such as retrognathism and facial asymmetry [ 2 ]. While unilateral TMJ ankylosis engenders asymmetrical mandibular growth, potentially accompanied by occlusal canting due to compensatory over-eruption of maxillary teeth on the contralateral side, bilateral involvement typically precipitates more pronounced deformities, including significant retrognathism, increased overjet, dental crowding, and the potential development of obstructive sleep apnea due to constriction of the oropharyngeal airway [ 3 ]. According to a study conducted by Gupta et al, the overall prevalence of TMJ ankylosis was reported as 0.46 per 1000 children in the population, demonstrating a female preponderance [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Navigating Complexity in Mandibular Condyle Aplasia and Temporomandibular Joint Ankylosis in a Five-Year-Old Child: A Case Report

Vagha,

Javvaji

et al. 2024

Cureus

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Mandibular condyle aplasia and temporomandibular joint (TMJ) ankylosis represent complex challenges in diagnosis and management, affecting jaw function and facial aesthetics. This case report presents a fiveyear-old female child with a right-sided small jaw and facial asymmetry due to left-sided TMJ ankylosis. The coexistence of mandibular condyle aplasia and TMJ ankylosis underscores the need for comprehensive evaluation and tailored treatment approaches. Syndromic associations, such as Goldenhar syndrome and Treacher Collins syndrome, further complicate diagnosis and management. Surgical intervention involving left-side gap arthroplasty and reconstruction using a costochondral graft/temporalis fascia was performed under general anesthesia. However, postoperative complications, including decreased mouth opening and left-sided lower motor neuron facial palsy, necessitated further surgical debridement and drainage of an abscess. The case emphasizes the importance of a multidisciplinary approach in addressing complex craniofacial anomalies, with treatment strategies such as bone grafting and tailored surgical interventions offering promising outcomes. Understanding the multifaceted etiology of mandibular condyle aplasia and TMJ ankylosis is crucial for optimal management, highlighting the collaborative efforts required for achieving favorable patient outcomes.

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Section: Introductionmentioning

confidence: 99%