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A multidisciplinary approach to the management of temporomandibular joint ankylosis in a sickle-cell anemia patient in a resource-limited setting

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ABSTRACT

This report describes the multidisciplinary management of a 35-year-old female sickle-cell anemia patient who had unilateral bony ankylosis of the left temporomandibular joint secondary to septic arthritis. She was managed by a team comprising of maxillofacial surgeons, anesthetists, otorhinolaryngologist, and hematologist. Unilateral left interpositional arthroplasty and ipsilateral coronoidectomy through a postrami approach were done and followed by aggressive jaw physiotherapy in the postsurgical period. No perioperative morbidity was encountered. Mouth opening of 3.5 cm was achieved and maintained 7 months after surgery. Challenges and rationale for the use of a multidisciplinary team approach in treatment of such cases were discussed.

No MeSH data available.


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Postoperative scar
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Figure 5: Postoperative scar

Mentions: Active jaw exercise was commenced on the 1st postoperative day with 1.6 cm mouth opening. Tizanidine tablet (2 mg) was added to medication as muscle relaxant. She was transferred to regular ward from ICU on postoperative day 5. Mouth opening on postoperative day 5 was 2 cm. Patient was discharged home on postoperative day 6 on oral medications. Review appointment was 2 weeks and following review, mouth opening was 2.3 cm. At the 7 months review, mouth opening was 3.5 cm [Figure 4] and the patient was satisfied. Postoperative scar was minimal both from previous and recent surgeries [Figure 5].


A multidisciplinary approach to the management of temporomandibular joint ankylosis in a sickle-cell anemia patient in a resource-limited setting
Postoperative scar
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4979329&req=5

Figure 5: Postoperative scar
Mentions: Active jaw exercise was commenced on the 1st postoperative day with 1.6 cm mouth opening. Tizanidine tablet (2 mg) was added to medication as muscle relaxant. She was transferred to regular ward from ICU on postoperative day 5. Mouth opening on postoperative day 5 was 2 cm. Patient was discharged home on postoperative day 6 on oral medications. Review appointment was 2 weeks and following review, mouth opening was 2.3 cm. At the 7 months review, mouth opening was 3.5 cm [Figure 4] and the patient was satisfied. Postoperative scar was minimal both from previous and recent surgeries [Figure 5].

View Article: PubMed Central - PubMed

ABSTRACT

This report describes the multidisciplinary management of a 35-year-old female sickle-cell anemia patient who had unilateral bony ankylosis of the left temporomandibular joint secondary to septic arthritis. She was managed by a team comprising of maxillofacial surgeons, anesthetists, otorhinolaryngologist, and hematologist. Unilateral left interpositional arthroplasty and ipsilateral coronoidectomy through a postrami approach were done and followed by aggressive jaw physiotherapy in the postsurgical period. No perioperative morbidity was encountered. Mouth opening of 3.5 cm was achieved and maintained 7 months after surgery. Challenges and rationale for the use of a multidisciplinary team approach in treatment of such cases were discussed.

No MeSH data available.


Related in: MedlinePlus