Gap Arthroplasty of Bilateral Temporomandibular Joint Ankylosis
Objective: To present a case of bilateral temporomandibular joint ankylosis that was managed successfully through gap arthroplasty. Methods: Design: Case report Setting: Tertiary Government Hospital Patient: One Results: A 25-year-old man presented with inability to open his...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Philippine Society of Otolaryngology-Head and Neck Surgery, Inc.
2014-11-01
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| Series: | Philippine Journal of Otolaryngology Head and Neck Surgery |
| Subjects: | |
| Online Access: | https://pjohns.pso-hns.org/index.php/pjohns/article/view/425 |
| _version_ | 1811276254980079616 |
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| author | Ferdinand Z. Guintu Alexander T. Laoag Joselito F. David |
| author_facet | Ferdinand Z. Guintu Alexander T. Laoag Joselito F. David |
| author_sort | Ferdinand Z. Guintu |
| collection | DOAJ |
| description | Objective: To present a case of bilateral temporomandibular joint ankylosis that was managed successfully through gap arthroplasty.
Methods:
Design: Case report
Setting: Tertiary Government Hospital
Patient: One
Results:
A 25-year-old man presented with inability to open his mouth for 18 years after direct trauma to his chin. CT scan showed bilateral bony fusion of condyles to glenoid fossae, hypertrophic sclerosis and fusion of the condylar heads to the temporal bones. He underwent bilateral gap arthroplasty via preauricular approach with creation of a 15 mm space on the mandibular fossa. As of latest follow up, the patient maintained an inter-alveolar distance of 30 mm for 5 months postoperatively, through continuous aggressive mouth opening exercises.
Conclusion:
Gap arthroplasty may be an efficient procedure for temporomandibular joint ankylosis in achieving satisfactory post-operative inter-alveolar opening and articular function. Early and meticulous rehabilitation is required to prevent relapse. Long-term follow up is recommended to document possible recurrence.
Keywords: temporomandibular joint ankylosis, gap arthroplasty, TMJ ankylosis, ankylosis |
| first_indexed | 2024-04-12T23:53:11Z |
| format | Article |
| id | doaj.art-0d65f40fc9f049e7986bd5a805119553 |
| institution | Directory Open Access Journal |
| issn | 1908-4889 2094-1501 |
| language | English |
| last_indexed | 2024-04-12T23:53:11Z |
| publishDate | 2014-11-01 |
| publisher | Philippine Society of Otolaryngology-Head and Neck Surgery, Inc. |
| record_format | Article |
| series | Philippine Journal of Otolaryngology Head and Neck Surgery |
| spelling | doaj.art-0d65f40fc9f049e7986bd5a8051195532022-12-22T03:11:36ZengPhilippine Society of Otolaryngology-Head and Neck Surgery, Inc.Philippine Journal of Otolaryngology Head and Neck Surgery1908-48892094-15012014-11-0129210.32412/pjohns.v29i2.425Gap Arthroplasty of Bilateral Temporomandibular Joint AnkylosisFerdinand Z. Guintu0Alexander T. Laoag1Joselito F. David2Department of Otorhinolaryngology Head and Neck Surgery Jose R. Reyes Memorial Medical CenterDepartment of Otorhinolaryngology Head and Neck Surgery Jose R. Reyes Memorial Medical CenterDepartment of Otorhinolaryngology Head and Neck Surgery Jose R. Reyes Memorial Medical CenterObjective: To present a case of bilateral temporomandibular joint ankylosis that was managed successfully through gap arthroplasty. Methods: Design: Case report Setting: Tertiary Government Hospital Patient: One Results: A 25-year-old man presented with inability to open his mouth for 18 years after direct trauma to his chin. CT scan showed bilateral bony fusion of condyles to glenoid fossae, hypertrophic sclerosis and fusion of the condylar heads to the temporal bones. He underwent bilateral gap arthroplasty via preauricular approach with creation of a 15 mm space on the mandibular fossa. As of latest follow up, the patient maintained an inter-alveolar distance of 30 mm for 5 months postoperatively, through continuous aggressive mouth opening exercises. Conclusion: Gap arthroplasty may be an efficient procedure for temporomandibular joint ankylosis in achieving satisfactory post-operative inter-alveolar opening and articular function. Early and meticulous rehabilitation is required to prevent relapse. Long-term follow up is recommended to document possible recurrence. Keywords: temporomandibular joint ankylosis, gap arthroplasty, TMJ ankylosis, ankylosishttps://pjohns.pso-hns.org/index.php/pjohns/article/view/425temporomandibular joint ankylosis, gap arthroplasty, TMJ ankylosis, ankylosis |
| spellingShingle | Ferdinand Z. Guintu Alexander T. Laoag Joselito F. David Gap Arthroplasty of Bilateral Temporomandibular Joint Ankylosis Philippine Journal of Otolaryngology Head and Neck Surgery temporomandibular joint ankylosis, gap arthroplasty, TMJ ankylosis, ankylosis |
| title | Gap Arthroplasty of Bilateral Temporomandibular Joint Ankylosis |
| title_full | Gap Arthroplasty of Bilateral Temporomandibular Joint Ankylosis |
| title_fullStr | Gap Arthroplasty of Bilateral Temporomandibular Joint Ankylosis |
| title_full_unstemmed | Gap Arthroplasty of Bilateral Temporomandibular Joint Ankylosis |
| title_short | Gap Arthroplasty of Bilateral Temporomandibular Joint Ankylosis |
| title_sort | gap arthroplasty of bilateral temporomandibular joint ankylosis |
| topic | temporomandibular joint ankylosis, gap arthroplasty, TMJ ankylosis, ankylosis |
| url | https://pjohns.pso-hns.org/index.php/pjohns/article/view/425 |
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