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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

Two horizontal osteotomy cuts placed
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Figure 6: Two horizontal osteotomy cuts placed

Mentions: The section consisted of two horizontal osteotomy cuts, which were placed at the level of joint (below the zygomatic arch) and removal of a bony wedge was done so that a gap is created between the roof of the glenoid fossa and ramus [Figure 6]. The bone was removed carefully by using surgical burs until the bone is thinned and then removed using chisel or osteotome.


Temperomandibular joint ankylosis in children.

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

Two horizontal osteotomy cuts placed
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 6: Two horizontal osteotomy cuts placed
Mentions: The section consisted of two horizontal osteotomy cuts, which were placed at the level of joint (below the zygomatic arch) and removal of a bony wedge was done so that a gap is created between the roof of the glenoid fossa and ramus [Figure 6]. The bone was removed carefully by using surgical burs until the bone is thinned and then removed using chisel or osteotome.

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