Unilateral Ankylosis of left TMJ management:  A case report

DR.VARGHESE MANI; DR.SANKAR VINOD V; DR.ARUN GEORGE; DR.AABU VARGHESE; DR.PAUL STEAPHEN; DR.NINAN THOMAS

Volume : V, Issue : VI, June - 2016

Unilateral Ankylosis of left TMJ management: A case report

Dr. Varghese Mani, Dr. Sankar Vinod V, Dr. Arun George, Dr. Aabu Varghese, Dr. Paul Steaphen, Dr. Ninan Thomas

Abstract :

 This case report describes the multiphase treatment of a 28–year–old female patient having unilateral left TMJ ankylosis with vertical maxillary excess and mandibular retrognathism. She was also suffering from difficulty in mouth opening, mastication, speech and oral hygiene. Ankylotic mass resection and release, temporalis myofacial flap interposition and extended lateral sliding genioplasty was done in the initial stage. Lefort I osteotomy, extended genioplasty and placement of med pore implants were done in later stage. Psychological counselling were also performed from time to time. There was considerable improvement of facial esthetics, disfigurement, impaired functions and psychosocial disability at the end of treatment.