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Severe bony ankylosis of the temporomandibular joint on one side and contralateral adhesion: A case report.

Song JY, Kim SG, Choi HM, Kim HJ - Imaging Sci Dent (2015)

Bottom Line: A large mass in the right TMJ was observed on computed tomograph.Gap arthroplasty with temporal fascia was performed on the right TMJ, and discectomy, high condylectomy, and coronoidectomy were performed on the left TMJ.During a 2-year follow-up after surgery, the patient had no recurrence.

View Article: PubMed Central - PubMed

Affiliation: Department of Oral and Maxillofacial Surgery, Jeju National University Hospital, Jeju National University School of Medicine, Jeju, Korea.

ABSTRACT
Bony fusion between the mandibular condyle and skull base involves temporomandibular joint (TMJ) bony ankylosis. This condition might originate from trauma, infection, or systemic disease. TMJ adhesion can develop after synovial damage. Both TMJ ankylosis and adhesion lead to functional impairment and pain. Here, we present a case of a 50-year-old female who had bony ankylosis of the right TMJ and adhesion of the left TMJ. She had otitis media in the right ear. A large mass in the right TMJ was observed on computed tomograph. Magnetic resonance image showed a large fused bone mass with normal bone marrow in the right TMJ and flattening of the condyle with a thin disk in the left TMJ. Gap arthroplasty with temporal fascia was performed on the right TMJ, and discectomy, high condylectomy, and coronoidectomy were performed on the left TMJ. During a 2-year follow-up after surgery, the patient had no recurrence.

No MeSH data available.


Related in: MedlinePlus

Photograph shows performing full mouth rehabilitation 4 months after surgery.
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Figure 7: Photograph shows performing full mouth rehabilitation 4 months after surgery.

Mentions: After the 3-month follow-up, the MMO was 25 mm. All teeth were extracted because of the severe dental problems. One month after extraction, the patient underwent dental implant surgery (Fig. 6). Four months after dental implant surgery, she had full mouth rehabilitation (Fig. 7). Two years after surgery, the MMO was approximately 20 mm, and the masticatory function was normal (Fig. 8).


Severe bony ankylosis of the temporomandibular joint on one side and contralateral adhesion: A case report.

Song JY, Kim SG, Choi HM, Kim HJ - Imaging Sci Dent (2015)

Photograph shows performing full mouth rehabilitation 4 months after surgery.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4483616&req=5

Figure 7: Photograph shows performing full mouth rehabilitation 4 months after surgery.
Mentions: After the 3-month follow-up, the MMO was 25 mm. All teeth were extracted because of the severe dental problems. One month after extraction, the patient underwent dental implant surgery (Fig. 6). Four months after dental implant surgery, she had full mouth rehabilitation (Fig. 7). Two years after surgery, the MMO was approximately 20 mm, and the masticatory function was normal (Fig. 8).

Bottom Line: A large mass in the right TMJ was observed on computed tomograph.Gap arthroplasty with temporal fascia was performed on the right TMJ, and discectomy, high condylectomy, and coronoidectomy were performed on the left TMJ.During a 2-year follow-up after surgery, the patient had no recurrence.

View Article: PubMed Central - PubMed

Affiliation: Department of Oral and Maxillofacial Surgery, Jeju National University Hospital, Jeju National University School of Medicine, Jeju, Korea.

ABSTRACT
Bony fusion between the mandibular condyle and skull base involves temporomandibular joint (TMJ) bony ankylosis. This condition might originate from trauma, infection, or systemic disease. TMJ adhesion can develop after synovial damage. Both TMJ ankylosis and adhesion lead to functional impairment and pain. Here, we present a case of a 50-year-old female who had bony ankylosis of the right TMJ and adhesion of the left TMJ. She had otitis media in the right ear. A large mass in the right TMJ was observed on computed tomograph. Magnetic resonance image showed a large fused bone mass with normal bone marrow in the right TMJ and flattening of the condyle with a thin disk in the left TMJ. Gap arthroplasty with temporal fascia was performed on the right TMJ, and discectomy, high condylectomy, and coronoidectomy were performed on the left TMJ. During a 2-year follow-up after surgery, the patient had no recurrence.

No MeSH data available.


Related in: MedlinePlus