Bidirectional temporomandibular joint ankylosis: A rare, disabling condition of mastication

Güven O.

Journal of Craniofacial Surgery, vol.21, no.1, pp.106-110, 2010 (SCI-Expanded) identifier identifier

  • Publication Type: Article / Article
  • Volume: 21 Issue: 1
  • Publication Date: 2010
  • Doi Number: 10.1097/scs.0b013e3181c466ae
  • Journal Name: Journal of Craniofacial Surgery
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.106-110
  • Keywords: Condyle, Growing patients, TMJ, TMJ ankylosis, TMJ fossa prosthesis, TMJ fracture
  • Ankara University Affiliated: Yes

Abstract

Temporomandibular joint (TMJ) ankylosis is characterized by a bony mass that generally creates difficulty in 1 direction, opening the mouth. In this paper, the patient who presented was experiencing difficulty in 2 directions, both in opening and closing the mouth. A rare disabling condition of mastication and bidirectional ankylosis and its surgical treatment have been presented. Bidirectional temporomandibular joint ankylosis is a rare condition that disables the patient both to open and close the mouth. The left side of type 2 ankylosis (Sawhney, Plast Reconstr Surg 1986;77:29-38) was treated conservatively. Disc was preserved and used as interpositional material. In treatment of the right side, which was type 4 ankylosis (Sawhney, Plast Reconstr Surg 1986;77:29-38), a gap was created, and then, a titanium fossa implant was placed to prevent ankylosis. © 2010 by Mutaz B. Habal, MD.