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      Management of Temporomandibular Joint Ankylosis of a 13 year old boy: a case report

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            Abstract

            Background : TMJ ankylosis is hypomobility to immobility of the joint that can lead to inability to open the mouth. It affects the dento-facial growth if occurred in childhood. Trauma especially during birth can be a major cause of TMJ ankylosis of children. In Bangladesh ankylosis due to fall or birth trauma is very high.

            Report of a case: Here TMJ ankylosis of the right side of a 13 year old boy with likely fibro osseous ankylosis with type I sawhney classification is presented. Under proper aseptic precaution, a pre-auricular incision with Al-Kayat and Bramely modification was given on the right side, along with the removal of fibrous part and condyle of the joint. Gap arthroplasty along coronoidectomy was carried out with increased peroperative mouth opening.

            Conclusion: The presented case is a childhood TMJ ankylosis of a 13 year old boy. The aetiology, classifications, timing and choice of surgical techniques along with its considerations and complications are studied. Close follow-up are advocated and post-operative care is given for successful treatment.

            Content

            Author and article information

            Journal
            AHRO Review of Dentistry
            AHRO Scientific Publishing
            18 June 2022
            : 1
            : 1
            Affiliations
            [1 ] Dhaka Dental College Hospital
            Author notes
            Author information
            https://orcid.org/0000-0002-2945-6242
            Article
            10.36295/ARD/2022/0001
            55d66cb2-9982-47fd-8fe3-1629e259ab39

            This work has been published open access under Creative Commons Attribution License CC BY 4.0 , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Conditions, terms of use and publishing policy can be found at www.scienceopen.com .

            History
            : 30 May 2022
            : 30 May 2022
            Funding
            Nill Nill

            All data generated or analysed during this study are included in this published article (and its supplementary information files).
            Dentistry
            Ankylosis,Gap arthroplasty,Coronoidectomy,Post op ROM exercise

            References

            1. Jayavelu Perumal, Shrutha SP, Vinit GB. Temperomandibular joint ankylosis in children. Journal of Pharmacy and Bioallied Sciences. Vol. 6(5)2014. Medknow. [Cross Ref]

            2. Kazanjian Varaztad H.. Temporomandibular joint ankylosis with mandibular retrusion. The American Journal of Surgery. Vol. 90(6):905–910. 1955. Elsevier BV. [Cross Ref]

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