Gap Arthroplasty of Bilateral Temporomandibular Joint Ankylosis

Authors

  • Ferdinand Z. Guintu Department of Otorhinolaryngology Head and Neck Surgery Jose R. Reyes Memorial Medical Center
  • Alexander T. Laoag Department of Otorhinolaryngology Head and Neck Surgery Jose R. Reyes Memorial Medical Center
  • Joselito F. David Department of Otorhinolaryngology Head and Neck Surgery Jose R. Reyes Memorial Medical Center

DOI:

https://doi.org/10.32412/pjohns.v29i2.425

Keywords:

temporomandibular joint ankylosis, gap arthroplasty, TMJ ankylosis, ankylosis

Abstract

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

Downloads

Download data is not yet available.

Downloads

Published

2014-11-30

How to Cite

1.
Guintu FZ, Laoag AT, David JF. Gap Arthroplasty of Bilateral Temporomandibular Joint Ankylosis. Philipp J Otolaryngol Head Neck Surg [Internet]. 2014 Nov. 30 [cited 2024 May 20];29(2):28-31. Available from: https://pjohns.pso-hns.org/index.php/pjohns/article/view/425

Similar Articles

1 2 3 4 5 > >> 

You may also start an advanced similarity search for this article.