| CASE REPORT |
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| Year : 2022 | Volume
: 13
| Issue : 2 | Page : 80-83 |
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Management of unilateral temporomandibular joint ankylosis with facial asymmetry
Abhinav Kumar Sharma, Sasikala Balasubramanian, Savitha Lakshmi Raghavan, Sheetal Sanjay Singh, VB Krishnakumar Raja
Department of Oral and Maxillofacial Surgery, SRM Dental College, Chennai, Tamil Nadu, India
Correspondence Address:
Dr. Sasikala Balasubramanian
Reader Department of Oral and Maxillofacial Surgery, SRM Dental College, Ramapuram, Tamil Nadu
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/srmjrds.srmjrds_24_22
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Long-standing temporomandibular joint (TMJ) ankylosis may compromise facial form and function. Treatment planning needs to address both the ankylosis and the facial deformity. A 21-year-old male patient with unilateral TMJ ankylosis of the right side with gross facial asymmetry was planned for a two-stage surgical procedure. First-stage surgery was done to release fibrous ankylosis, create a new functional joint and achieve adequate mouth opening. A vertical ramus osteotomy with superior repositioning of the proximal ramal segment and interpositional temporalis myofascial flap was done to achieve a functional joint and correct the facial height discrepancy. As the mouth opening was <35 mm, ipsilateral coronoidectomy was done and the resected coronoid process was used a graft in the mandibular angle region. 35 mm of mouth opening was achieved intraoperatively.
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