title: Temporomandibular joint ankylosis consequent to ear suppuration.
abstract: The objective of this study is to describe the complication of temporomandibular joint (TMJ) ankylosis consequent to otitis media. The method applied is prospective case series and data collection done in tertiary referral centre from April 2012 to April 2013. Case description of three adolescent male patients with unilateral TMJ ankylosis consequent to ipsilateral chronic suppurative otitis media. Further literature review of TMJ ankylosis in relation to otitis media for evaluation for predisposing conditions. Surgical treatment by ipsilateral canal wall down mastoidectomy and concurrent TMJ gap arthroplasty. Surgical exposure confirmed ipsilateral bony ankylosis in all three. Two cases with long standing trismus had developed contralateral disuse fibrous ankylosis and required bilateral gap arthroplasty. Relief of trismus achieved in all three cases. Literature review indicated three similar cases secondary to otitis media. A universal feature among all previous case reports and the current case series was the age at onset of trismus, being at 10 years or less in all. TMJ ankylosis is a rare but potential complication of paediatric ear suppuration. Dehiscence along the tympanosquamosal fissure, tympanic plate and the foraminae of Huschke and Santorini in the paediatric population may predispose to extension of tympanic suppuration to the TMJ.
authors.affiliation: Department of Otolaryngology & Head-Neck Surgery, All India Institute of Medical Sciences, New Delhi, 110029 India.
authors.forename: Rajeev
authors.initials: R
authors.lastname: Kumar
authors.affiliation: Department of Otolaryngology & Head-Neck Surgery, All India Institute of Medical Sciences, New Delhi, 110029 India.
authors.forename: Ashutosh
authors.initials: A
authors.lastname: Hota
authors.affiliation: Department of Otolaryngology & Head-Neck Surgery, All India Institute of Medical Sciences, New Delhi, 110029 India.
authors.forename: Kapil
authors.initials: K
authors.lastname: Sikka
authors.affiliation: Department of Otolaryngology & Head-Neck Surgery, All India Institute of Medical Sciences, New Delhi, 110029 India.
authors.forename: Alok
authors.initials: A
authors.lastname: Thakar
keywords: Chronic suppurative otitis media; Gap arthroplasty; Temporomandibular joint ankylosis