Japanese Journal of Oral and Maxillofacial Surgery
Online ISSN : 2186-1579
Print ISSN : 0021-5163
ISSN-L : 0021-5163
A case of lateral TMJ bony ankylosis in childhood treated by surgical mobilization
Katsuhito NAKASHIMAKenichi KURITAMakoto TAKAISHITetsuya YAJIMAMikio SHIMIZUTakao IMAI
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2007 Volume 53 Issue 9 Pages 558-562

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Abstract

We report a case of ankylosis in childhood treated by TMJ mobilization with preservation of the condyle and disc. The patient was a 9-year-old boy with a history of a right condylar fracture at the age of 7 years. As the maximal mouth opening had markedly decreased, TMJ mobilization was performed at the age of 13 years. We resected the bony adhesion, retaining the fractured condyle and disc in their displaced position.
Five years after surgery, the patient had a maximal mouth opening of 45mm, as well as better contralateral and protrusive movements without any recurrence. Mandibular deviation has gradually improved.

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© Japanese Society of Oral and Maxillofacial Surgeons
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