Treatment of Long Standing Bilateral Temporomandibular Joint Ankylosis with Condylar Prosthesis

Abstract

Patient had mouth opening of 29 mm and also had a satisfactory esthetic appearence.

Treatment of Dentofacial Deformity Associated with Temporomandibular Joint Ankylosis Through Vertical and Sagittal Osteotomies of the Mandibular Ramus

“…This approach hides the neck line incision and eliminates the scar from the retromandibular incision, resulting in imperceptible scar. 2,7,11,12 In conclusion, we describe a case of unilateral TMJ ankylosis due to facial trauma associated with class II dentofacial deformity, where mandibular osteotomies, common in orthognathic surgeries, were performed to treat the ankylosis and simultaneously correct the associated dentofacial deformity. Thus, this article highlights the characteristics to be considered in the treatment of these patients aiming at the restoration of satisfactory occlusion and pleasant facial esthetics.…”

“…A modified type of access for temporal extension rhytidectomy and endaural was performed in this case report, allowing to access both the TMJ and the mandibular ramus. This approach hides the neck line incision and eliminates the scar from the retromandibular incision, resulting in imperceptible scar 2,7,11,12 …”

Treatment of Dentofacial Deformity Associated with Temporomandibular Joint Ankylosis Through Vertical and Sagittal Osteotomies of the Mandibular Ramus

“…This approach hides the neck line incision and eliminates the scar from the retromandibular incision, resulting in imperceptible scar. 2,7,11,12 In conclusion, we describe a case of unilateral TMJ ankylosis due to facial trauma associated with class II dentofacial deformity, where mandibular osteotomies, common in orthognathic surgeries, were performed to treat the ankylosis and simultaneously correct the associated dentofacial deformity. Thus, this article highlights the characteristics to be considered in the treatment of these patients aiming at the restoration of satisfactory occlusion and pleasant facial esthetics.…”

“…A modified type of access for temporal extension rhytidectomy and endaural was performed in this case report, allowing to access both the TMJ and the mandibular ramus. This approach hides the neck line incision and eliminates the scar from the retromandibular incision, resulting in imperceptible scar 2,7,11,12 …”

Facial Deformity in an Operated Case of Bilateral Temporomandibular Joint Ankylosis

“…Due to its distinct anatomy and relationship to several key tissues, most notably the facial nerve and the auriculotemporal nerve, the TMJ has presented challenges to otolaryngologists, oral and maxillofacial surgeons, and other clinicians over the years [ 1 ]. A treatment plan for TMJ ankylosis is described, following the guidelines set forth by Kaban et al [ 7 , 8 ].…”

“…The temporomandibular joint (TMJ) is a finely balanced structure with a high degree of anatomic precision. TMJ ankylosis can be defined as an "inability to open the mouth due to either a fibrous or bony union between the head of the condyle and the glenoid fossa" [ 1 ]. Mandibular condyle injury is the most common cause of TMJ ankylosis, which is a significant issue in Asian nations.…”

Treatment of Dentofacial Deformity Associated with Temporomandibular Joint Ankylosis Through Vertical and Sagittal Osteotomies of the Mandibular Ramus

“…This approach hides the neck line incision and eliminates the scar from the retromandibular incision, resulting in imperceptible scar. 2,7,11,12 In conclusion, we describe a case of unilateral TMJ ankylosis due to facial trauma associated with class II dentofacial deformity, where mandibular osteotomies, common in orthognathic surgeries, were performed to treat the ankylosis and simultaneously correct the associated dentofacial deformity. Thus, this article highlights the characteristics to be considered in the treatment of these patients aiming at the restoration of satisfactory occlusion and pleasant facial esthetics.…”

“…A modified type of access for temporal extension rhytidectomy and endaural was performed in this case report, allowing to access both the TMJ and the mandibular ramus. This approach hides the neck line incision and eliminates the scar from the retromandibular incision, resulting in imperceptible scar 2,7,11,12 …”

Facial Deformity in an Operated Case of Bilateral Temporomandibular Joint Ankylosis

“…Due to its distinct anatomy and relationship to several key tissues, most notably the facial nerve and the auriculotemporal nerve, the TMJ has presented challenges to otolaryngologists, oral and maxillofacial surgeons, and other clinicians over the years [ 1 ]. A treatment plan for TMJ ankylosis is described, following the guidelines set forth by Kaban et al [ 7 , 8 ].…”

“…The temporomandibular joint (TMJ) is a finely balanced structure with a high degree of anatomic precision. TMJ ankylosis can be defined as an "inability to open the mouth due to either a fibrous or bony union between the head of the condyle and the glenoid fossa" [ 1 ]. Mandibular condyle injury is the most common cause of TMJ ankylosis, which is a significant issue in Asian nations.…”

Treatment of Dentofacial Deformity Associated with Temporomandibular Joint Ankylosis Through Vertical and Sagittal Osteotomies of the Mandibular Ramus

“…This approach hides the neck line incision and eliminates the scar from the retromandibular incision, resulting in imperceptible scar. 2,7,11,12 In conclusion, we describe a case of unilateral TMJ ankylosis due to facial trauma associated with class II dentofacial deformity, where mandibular osteotomies, common in orthognathic surgeries, were performed to treat the ankylosis and simultaneously correct the associated dentofacial deformity. Thus, this article highlights the characteristics to be considered in the treatment of these patients aiming at the restoration of satisfactory occlusion and pleasant facial esthetics.…”

“…A modified type of access for temporal extension rhytidectomy and endaural was performed in this case report, allowing to access both the TMJ and the mandibular ramus. This approach hides the neck line incision and eliminates the scar from the retromandibular incision, resulting in imperceptible scar 2,7,11,12 …”

Facial Deformity in an Operated Case of Bilateral Temporomandibular Joint Ankylosis

“…Due to its distinct anatomy and relationship to several key tissues, most notably the facial nerve and the auriculotemporal nerve, the TMJ has presented challenges to otolaryngologists, oral and maxillofacial surgeons, and other clinicians over the years [ 1 ]. A treatment plan for TMJ ankylosis is described, following the guidelines set forth by Kaban et al [ 7 , 8 ].…”

“…The temporomandibular joint (TMJ) is a finely balanced structure with a high degree of anatomic precision. TMJ ankylosis can be defined as an "inability to open the mouth due to either a fibrous or bony union between the head of the condyle and the glenoid fossa" [ 1 ]. Mandibular condyle injury is the most common cause of TMJ ankylosis, which is a significant issue in Asian nations.…”