Abstract
Temporomandibular joint ankylosis is a clinical condition resulting in loss of jaw function and retardation of growth. The main objectives of the treatment for Temporomandibular joint ankylosis are to increase mouth opening, restore joint function, initiation of mandibular growth, improve the patient’s facial esthetic profile and prevent reankylosis. To release of ankylotic mass and gap is filled up with interpositional material. We reported a case of temporomandibular joint ankylosis in a 15 years old girl, whose treatment was done in the Department of Oral and Maxillofacial Surgery,Bangabondhu Sheikh Mujib Medical University, with sternoclavicular joint transfer which is very rare in our country and this was nearly fulfill treatment objective.
 Bangladesh J Otorhinolaryngol; April 2018; 24(1): 90-94
Highlights
Temporomandibular joint ankylosis is one of the most distressing clinical conditions resulting in loss of jaw function and impairment of growth
The Temporomandibular joint ankylosis leads to facial asymmetry resulting in psychosocial problems in the affected patients
Unilateral ankylosis is associated with chin deviation to the affected side, vertical deficiency of the maxilla and the mandible on the side of defect, retrognathic mandible with short ramus, convex facial profile, absent or deficient cervico-mental angle, fullness of face on affected side, flatteneing on unaffected side, and prominent antigonial notch
Summary
Temporomandibular joint ankylosis is one of the most distressing clinical conditions resulting in loss of jaw function and impairment of growth. The Temporomandibular joint ankylosis leads to facial asymmetry resulting in psychosocial problems in the affected patients. Treatment for Temporomandibular joint ankylosis are to improve mouth opening, restore joint function, allow for mandibular growth, improve the patient’s facial profile and prevent reankylosis.[1] The etiology of recurrence of ankylosis has been postulated to be failure to have aggressive physiotherapy, poor compliance by the patient. Case Report A 15-year-old girl was referred to oral and maxillofacial surgery department for treatment of right TMJ ankylosis. Surgery: Gap arthroplasty, Ipsilateral coronoidectomy, Harvesting of sternoclavicular joint graft and rigid internal fixation
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