Abstract

Temporomandibular joint (TMJ) ankylosis is a disabling disease where the main clinical feature is limited mouth opening. Aim: Our study’s aim is to draw epidemiological, clinical and imaging aspects of this disease in Marrakesh. Patients and methods: retrospective study gathering all TMJ ankylosis cases operated between 2008 and 2016 at maxillo-facial surgery department in University Hospital Mohamed VI of Marrakech. Results: a total of 27 cases were included, the mean age was 22,9 years (3-55 years). The sexe-ratio was 0,5. Unilateral cases (81,5%) were more common than bilateral. The most frequent aetiology was trauma (85,2%) followed by infection (7,4%) and one case of ankylosing spondylitis (3,7%). Mouth opening less than 10mm was observed in 67%. According to Topazian Classification, Stage I was predominant (59%). Conclusion: TMJ ankylosis is frequent in our context, especially due to neglected condylar trauma so the best treatment remains the prevention based on early diagnosis and proper management of TMJ trauma.

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