Report of ankylosis of the temporomandibular joint: treatment with a temporalis muscle flap and augmentation genioplasty.
A case of true bilateral ankylosis of the temporomandibular joint (TMJ) is presented. A 19-year-old male patient had a life-threatening ear infection at the age of ten resulting in a progressive restriction of his mouth opening. He presented with almost complete lack of mobility of the mandible. Surgical treatment was a resection of the ankylotic mass, interpositional temporalis composite muscle flaps, and early mobilization and aggressive physiotherapy. The functional results of the interpositional arthroplasty were excellent. After a two-year follow up, an augmentation genioplasty was performed in order to improve facial aesthetics.
Martins
Wilson Denis
WD
Catholic University of Paraná (PUCPR), Curitiba, Brazil. w.denis@pucpr.br
D000328:Adult; D000844:Ankylosis / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D000848:Anodontia / Q000209:etiology; D001178:Arthroplasty / Q000379:methods; D002680:Chin / Q000601:surgery; D006801:Humans; D008297:Male; D008844:Micrognathism / Q000209:etiology; D011859:Radiography; D016059:Range of Motion, Articular; D019651:Plastic Surgery Procedures; D012826:Silicone Elastomers; D013524:Surgical Flaps; D013703:Temporal Muscle / Q000637:transplantation*; D013704:Temporomandibular Joint / Q000601:surgery*; D013705:Temporomandibular Joint Disorders / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*
D012826:Silicone Elastomers