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Temporomandibular Joint Ankylosis


Presentation

  • Management case of the of dislocation of the mandibular condyle complicated by bilateral temporomandibular joint ankylosis is presented.[ncbi.nlm.nih.gov]
Feeding Difficulties
Excessive Daytime Sleepiness
  • We report a nine-year-old boy who presented to the Department of Oral Health, Sultan Qaboos University Hospital, Muscat, Oman, in 2016 with complaints of limited mouth opening, loud snoring and excessive daytime sleepiness.[ncbi.nlm.nih.gov]
Loud Snoring
  • We report a nine-year-old boy who presented to the Department of Oral Health, Sultan Qaboos University Hospital, Muscat, Oman, in 2016 with complaints of limited mouth opening, loud snoring and excessive daytime sleepiness.[ncbi.nlm.nih.gov]
Anterior Open Bite
Trismus
  • The patient called on our hospital suffering from severe trismus and facial asymmetry.[ci.nii.ac.jp]
  • History dated back to birth of the boy when patient had difficulty in opening his mouth which gradually reduced to near total trismus after one episode of convulsion at the age of 12 days.[ispub.com]
  • […] may cause immediate and delayed complications like, vascular injury and hemorrhage, facial nerve paralysis or transient injury to nerve, infection, otologic complications due to injury to external acoustic canal, malocclusion, recurrence of ankylosis, trismus[tmj.eg.net]
  • […] pox -Ankylosing spondylitis -Syphilis -Typhoid fever -Scarlet fever Infections and Inflammatory -Rheumatoid Arthritis -Septic arthritis -Otitis media -Mastoditis -Parotitis -Osteoarthritis Others -Malignancies -Post radiology -Post surgery -Prolonged trismus[slideshare.net]
  • […] disintegrate and cause foreign body giant cell reactions. [9], [10], [11], [12] Although temporalis flaps are still the most popular choice of grafts, dissecting temporalis muscle leads to scar contracture of the donor site which may further exacerbate the trismus[ijps.org]
Skin Lesion
  • It is a rare disease with a combination of osseous and articular manifestations associated with skin lesions. We describe a patient with SAPHO syndrome of the mandible and involvement of the temporomandibular joint (TMJ ankylosis).[ncbi.nlm.nih.gov]
Distractibility
  • None of the patients underwent reankylosis following neocondyle distraction. With proper surgical planning and distraction protocol, neocondyle distraction is an effective and safe technique for TMJ reconstruction and preventing reankylosis.[ncbi.nlm.nih.gov]
Suggestibility
  • The case suggests that the disposable Laryngeal Mask Airway may be useful in airway management of patients with a Temporomandibular Joint Ankylosis.[ncbi.nlm.nih.gov]
Facial Scar
  • The risk of facial nerve injury is minimized and facial scar was prevented by avoiding extraoral incision. Mandibular movements in 3 directions were satisfactory at 3rd postoperative month.[ncbi.nlm.nih.gov]
  • This technique is preferred over open reduction due to high success rate, less complications and technical problems and also less remnant facial scars [ 18 ].[intechopen.com]
Short Neck
  • It is identified by the presence of a triad of clinical signs including short neck, limitation of head and neck movements and low posterior hairline.[ncbi.nlm.nih.gov]
Headache
  • Subjective evaluations were made with Likert-like scales (from 0 to 10) for 1) TMJ pain, 2) headache and facial pain, 3) jaw function, 4) diet, and 5) disability. Objective evaluations included maximal incisal opening and excursion movements.[ncbi.nlm.nih.gov]
  • Helenius et al. [5] had reported that patients experience pain, stiffness, headache, and restricted movements in TMJ.[jfmpc.com]
  • Curr Pain Headache Rep 2006;10:408-14. 11. Souyris F, Moncaz V, Rev P. Facial asymmetry of developmental etiology. A report of nineteen case. Oral Surg Oral Med Oral Pathol 1983;56:113-24. 12. In: Graziani M, editor. Cirugia, Buco Maxilo-Facial.[jisppd.com]
  • Disorders.Neonatal TMJ Dislocation Bifid Condyle TMJ Osteochondritis Dissecans Inflammatory Disorders TMJ Rheumatoid Arthritis TMJ Juvenile Rechts -, Sozial.Temporomandibular disorders may be the reason for recurring headaches Rheumatoid arthritis of[iwuqexyxotafyjetyd.xpg.uol.com.br]

Workup

Staphylococcus Aureus
  • Blood culture and sensitivity indicated presence of Staphylococcus aureus infection, following the child was treated with cloxacillin and subsequently discharged.[bmcpediatr.biomedcentral.com]

Treatment

  • The purpose of this report is to describe a 2-stage treatment protocol, comprising TMJ reconstruction as the initial surgery, followed by orthodontic treatment, and correction of secondary deformities as the second surgery, for the management of TMJ ankylosis[ncbi.nlm.nih.gov]

Prognosis

  • The earlier the diagnosis is established, the better the treatment prognosis. Ankylosis can be treated by interposition arthroplasty of the temporalis muscle fascia in conjunction with ipsilateral coronoidectomy.[ncbi.nlm.nih.gov]
  • This study evaluated the prognosis of using standard alloplastic TMJ prostheses for the treatment of TMJ ankylosis in Chinese patients with severe mandibular deficiency. Patients treated from 2013 to 2015 were reviewed.[nature.com]

Etiology

  • Other less common etiologies are infection, forceps delivery trauma and rheumatoid arthritis. Many hypotheses are given to explain the pathogenesis.[ncbi.nlm.nih.gov]

Epidemiology

  • Because of the lack of epidemiological data, there is little information about the true incidence and the management of this rare anomaly.[ncbi.nlm.nih.gov]
  • An epidemiological study of temporomandibular joint ankylosis. Natl J Maxillofac Surg 2012;3:25-30 How to cite this URL: Gupta VK, Mehrotra D, Malhotra S, Kumar S, Agarwal GG, Pal US. An epidemiological study of temporomandibular joint ankylosis.[njms.in]
  • Meta-analysis of observational studies in epidemiology: a proposal for reporting. Meta-analysis Of Observational Studies in Epidemiology (MOOSE) group. JAMA.2000; 283: 2008–2012. pmid:10789670 View Article PubMed/NCBI Google Scholar 19.[journals.plos.org]
  • Part I: classification, epidemiology and risk factors. [17664915] Med Oral Patol Oral Cir Bucal 12(4): E292-8 (2007) 2005 23 Temporomandibular disorders: referred cranio-cervico-facial clinic. [15800464] Med Oral Patol Oral Cir Bucal 10 Suppl 1(-): E18[kidney.de]
Sex distribution
Age distribution

Pathophysiology

  • There is no consensus regarding the pathophysiology of TMJ ankylosis and regarding the attitude towards the ankylosis block. In our case, no recurrence was noticed after a one-year follow-up.[ncbi.nlm.nih.gov]
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  • •INTRODUCTION •CLASSIFICATION •INCIDENCE •AETIOLOGY •PATHOPHYSIOLOGY •CLINICAL FEATURES •SEQUELAE OF TMJ ANKYLOSIS •MANAGEMENT 3.[slideshare.net]
  • Anatomy and pathophysiology of the temperomandibular joint. In: Hamilton MM, editor. Peterson's Principles of Oral and Maxillofacial Surgery. 2 nd ed. Ontaria: BC Decker; 2004. p. 933-47. 3. Rowe NL. Ankylosis of temporomandibular joint. Part 3.[jisppd.com]
  • The other causes of arthrogenous TMD are diseases such as degenerative joint disease, rheumatoid arthritis, ankylosis, dislocations, infections, and neoplasia, the pathophysiology of which are self-explanatory.[emedicine.medscape.com]

Prevention

  • The authors also emphasize the importance of good postoperative physiotherapy and presurgical patient counselling to prevent future recurrences.[ncbi.nlm.nih.gov]

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