Limits...
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

Surgical exposure of ankylotic mass
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4157263&req=5

Figure 5: Surgical exposure of ankylotic mass

Mentions: After complete evaluation, a unilateral TMJ arthroplasty with interposing temporalis muscle graft was done under general anesthesia. The patient was intubated using a fiber-optic microscope, which is the recent technique of choice in patients who present with trismus. A Popowich modification of Alkayat and Bramley preauricular incision was employed. Full thickness mucoperiosteal flap was reflected, and the ankylotic mass was exposed [Figures 4 and 5]. After exposing the joint space, an arthrotomy cut was given at the level of the sigmoid notch.


Temperomandibular joint ankylosis in children.

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

Surgical exposure of ankylotic mass
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 5: Surgical exposure of ankylotic mass
Mentions: After complete evaluation, a unilateral TMJ arthroplasty with interposing temporalis muscle graft was done under general anesthesia. The patient was intubated using a fiber-optic microscope, which is the recent technique of choice in patients who present with trismus. A Popowich modification of Alkayat and Bramley preauricular incision was employed. Full thickness mucoperiosteal flap was reflected, and the ankylotic mass was exposed [Figures 4 and 5]. After exposing the joint space, an arthrotomy cut was given at the level of the sigmoid notch.

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