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Temperomandibular joint ankylosis in children.

Jayavelu P, Shrutha SP, Vinit GB - J Pharm Bioallied Sci (2014)

Bottom Line: Impairment of speech, difficulty in mastication, poor oral hygiene, rampant caries, and acute compromise of the airway pose a severe psychological burden on the tender minds of children.The surgical approach consisted of inter-positional arthroplasty followed by physiotherapy.A detailed history, clinical and functional examination, and radiographic examination facilitating correct diagnosis followed by immediate surgical intervention and physiotherapy can help us to restore physical, psychological and emotional health of the child patient.

View Article: PubMed Central - PubMed

Affiliation: Department of Oral and Maxillofacial Surgery, Eklavya Dental College, Kotputli, Rajasthan, India.

ABSTRACT
Temperomandibular joint (TMJ) ankylosis or hypo mobility involves fusion of the mandibular condyle to the base of the skull. Impairment of speech, difficulty in mastication, poor oral hygiene, rampant caries, and acute compromise of the airway pose a severe psychological burden on the tender minds of children. The treatment of TMJ ankylosis poses a significant challenge because of technical difficulties and a high incidence of recurrence. This report describes a case of 7-year-old with inability to open mouth, diagnosed with unilateral right bony TMJ ankylosis. The surgical approach consisted of inter-positional arthroplasty followed by physiotherapy. A detailed history, clinical and functional examination, and radiographic examination facilitating correct diagnosis followed by immediate surgical intervention and physiotherapy can help us to restore physical, psychological and emotional health of the child patient.

No MeSH data available.


Related in: MedlinePlus

Preoperative osteoprotegerin
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Figure 3: Preoperative osteoprotegerin

Mentions: A 10-year-old boy reported with the complaint of inability to open mouth since 1 year. History revealed that he had a fall from the bicycle and got injury on the face and back of his head 2 years back. No bleeding from mouth or face was noted at the time of injury. Parents recognized the inability to open mouth after sometime and child was then taken to a local doctor. The child was referred to Department of Pedodontics and Preventive Dentistry, Rama Dental College, Hospital and Research Center, Kanpur, for further evaluation and treatment planning. Extra oral examination revealed facial asymmetry with fullness of cheek on the right side [Figure 1]. The child showed almost nil mouth opening [Figure 2]. Radiographic examinations comprised of orthopantomogram [Figure 3] and computerized tomography that revealed a lack of structural organization and obliteration of right TMJ space. Based on these findings, a diagnosis of unilateral right bony TMJ ankylosis was confirmed.


Temperomandibular joint ankylosis in children.

Jayavelu P, Shrutha SP, Vinit GB - J Pharm Bioallied Sci (2014)

Preoperative osteoprotegerin
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4157263&req=5

Figure 3: Preoperative osteoprotegerin
Mentions: A 10-year-old boy reported with the complaint of inability to open mouth since 1 year. History revealed that he had a fall from the bicycle and got injury on the face and back of his head 2 years back. No bleeding from mouth or face was noted at the time of injury. Parents recognized the inability to open mouth after sometime and child was then taken to a local doctor. The child was referred to Department of Pedodontics and Preventive Dentistry, Rama Dental College, Hospital and Research Center, Kanpur, for further evaluation and treatment planning. Extra oral examination revealed facial asymmetry with fullness of cheek on the right side [Figure 1]. The child showed almost nil mouth opening [Figure 2]. Radiographic examinations comprised of orthopantomogram [Figure 3] and computerized tomography that revealed a lack of structural organization and obliteration of right TMJ space. Based on these findings, a diagnosis of unilateral right bony TMJ ankylosis was confirmed.

Bottom Line: Impairment of speech, difficulty in mastication, poor oral hygiene, rampant caries, and acute compromise of the airway pose a severe psychological burden on the tender minds of children.The surgical approach consisted of inter-positional arthroplasty followed by physiotherapy.A detailed history, clinical and functional examination, and radiographic examination facilitating correct diagnosis followed by immediate surgical intervention and physiotherapy can help us to restore physical, psychological and emotional health of the child patient.

View Article: PubMed Central - PubMed

Affiliation: Department of Oral and Maxillofacial Surgery, Eklavya Dental College, Kotputli, Rajasthan, India.

ABSTRACT
Temperomandibular joint (TMJ) ankylosis or hypo mobility involves fusion of the mandibular condyle to the base of the skull. Impairment of speech, difficulty in mastication, poor oral hygiene, rampant caries, and acute compromise of the airway pose a severe psychological burden on the tender minds of children. The treatment of TMJ ankylosis poses a significant challenge because of technical difficulties and a high incidence of recurrence. This report describes a case of 7-year-old with inability to open mouth, diagnosed with unilateral right bony TMJ ankylosis. The surgical approach consisted of inter-positional arthroplasty followed by physiotherapy. A detailed history, clinical and functional examination, and radiographic examination facilitating correct diagnosis followed by immediate surgical intervention and physiotherapy can help us to restore physical, psychological and emotional health of the child patient.

No MeSH data available.


Related in: MedlinePlus