Management Of Bilateral Temporomandibular Joint Ankylosis With Micrognathia And Obstructive Sleep Apnea Syndrome Using Interpositional Arthroplasty And Distraction Osteogenesis – A Case Report
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Abstract
Temporomandibular joint (TMJ) Ankylosis posses many problems like inability to open the mouth, poor oral hygiene, difficulty in eating proper food, unaesthetic appearance due to growth retardation and in severe cases difficulty in breathing specially during night depending on the time of occurance of injury. If the TMJ Ankylosis occurs the early stage of life it affects both the form and function of the patient. One of the most common treatments used to treat temporomandibular joint (TMJ) ankylosis is interpositional arthroplasty (IPA). When patients come with severe mandibular dysplasia either orthognathic surgery or distraction osteogenesis (DO) can be considered. Simultaneous IPA with DO has been used by many surgeons correct TMJ ankylosis associated with facial asymmetry/micrognathia as as it enables them to simultaneously reconstruct the neocondyle and correct facial malformations eliminating the need for second surgery. Here we have narrated a case of an young male patient suffering from bilateral TMJ Ankylosis with micrognathia treated by simultaneous IPA and DO and regular follow up was done.
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