Journal of the Bahrain Medical Society

Year 2021, Volume 33, Issue 2, Pages 46-49

https://doi.org/10.26715/jbms.33_2021_2_9

Case Report

Temporomandibular Joint (TMJ) Ankylosis Resection to Total Joint replacement – 30 Years Journey

Ahmed Al Qattan*, Mohammed Almuharraqi

Author Affiliation

Departments of Dental/Maxillofacial, BDF Hospital- Royal Medical Services, Kingdom of Bahrain

*Corresponding author: Dr. Ahmed Al Qattan, Departments of Dental/Maxillofacial, BDF Hospital - Royal Medical Services, Kingdom of Bahrain; Email: ahmedalqattan55@gmail.com 

Received date: October 6, 2020; Accepted date: January 14, 2021; Published date: June 30, 2021


Abstract

Temporomandibular joint (TMJ) ankylosis is an intracapsular union of the disc–condyle complex to the temporal articular surface that confines the mandibular drive, including the fibrous adhesions/ bony fusion between condyle, disc, glenoid fossa, and eminence. It is a severe and incapacitating ailment that can cause mastication, digestion, speech, appearance, and hygiene concerns. This is an unusual case of a 42-year-old adult patient, who suffered from bilateral recurrent TMJ ankylosis and reported following trauma to the face. The patient had a history of mandibular condyle fracture at ten years of age. Excision of existing ankylotic mass followed by reconstruction with patient-specific total joint replacement (TJR) was carried out. Postoperative physiotherapy exercises in the presented case improved patient’s mouth opening, and mandibular movement. Patient-specific TJR procedures and postoperative physiotherapy will be helpful in cases with TMJ ankylosis.

Keywords: Genioplasty; Mandibular Condyle; Mandibular fractures; Temporomandibular Ankylosis; Temporomandibular Joint

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