A Case report Restoring the motion in bilateral temporomandibular joint ankylosis- A Case Report

Abstract

An adult male patient of age 35 years has visited in the department of oral and maxillofacial surgery in MPCD& RC College , Gwalior  with severe limited mouth opening (< 5mm ) accompanied by open bite , resulting in impaired chewing function and decline in Psychological confidence after his road traffic accident  two years back where he does not underwent any definitive treatment for his condylar fracture and which resulted in  TMJ Ankylosis. The surgical procedure of gap Arthroplasty bilaterally in the patient with the resection of the ankylotic mass was done until mouth opening reached 35mm.   Patient had mouth opening of 30mm and he is still under aggressive Physiotherapy for the same and has been able to perform various functions like  speech clearity, maintainence of oral hygiene & chewing food which is the main concern for the patient which resulted in decline in confidence. Early post-operative exercises, close follow-up of the patient has been done for the prevention of postoperative adhesions and re-ankylosis.