Tengku Aszraf Tengku Shaeran1*, Nurul Karimah Abdul Ghani1*, Lim Min Jim1*, Azlina Ahmad2* and AR Samsudin2,3*
1Department of Oral & Maxillofacial Surgery, Hospital Tanah Merah, Ministry of Health Malaysia, Malaysia
2Department of Craniofacial Science Lab, School of Dental Sciences, Universiti Sains Malaysia, Malaysia
3College of Dental Medicine, University of Sharjah, UAE
A child with unilateral temporomandibular joint ankylosis, micrognathia and obstructive sleep is presented. The safe management demands a multidisciplinary approach to select the best treatment option and sequence. The main aim of treatment is to achieve the highest Maximal Incisal Opening possible and immediate relieve of the narrow posterior airway space through release of the ankylotic bone mass. Satisfactory mouth opening was achieved in the immediate postoperative period but post-operative Apnea-Hypopnea Index does not return to normal level without additional mandibular advancement technique to further correct the retrognathia. Intensive jaw exercise is mandatory to achieve and maintain an acceptable Maximal Incisal Opening.
Tengku Shaeran TA, Abdul Ghani NK, Jim LM, Ahmad A, Samsudin AR. Ankylosis of Temporomandibular Joint: Surgical Management. Clin Surg. 2019; 4: 2380.