treacher collin’s syndrome with temporomandibular joint ankylosis-a variant- surgical correction by gap arthroplasty- a case report with the review of literature
Dr.A. SIVAKUMAR,
Published in International Journal of Advanced Research in Medical Science
ISSN: xxxx-xxx Impact Factor:xx Volume:1 Issue:1 Year: 20 March,2015 Pages:15-23
Abstract
Temporomandibular joint ankylosis is a bony or an intracapsular fibrous fusion of the mandibular condyle and the glenoid fossa complex. The patient experiences severe cosmetic deformity along with restricted mouth opening, difficulty in swallowing. The facial deformity due to severe ankylosis makes a psychosocial problem to the patient. The prompt treatment to relieve the ankylosis is a challenging task to the surgeon. We report a case of 24 year old female came to the ENT out patient department with the complaints of inability to open the mouth, noisy breathing-chronic stridor and facial deformity since birth. On examination patient is having trismus, hypoplastic mandible, protruded upper jaw, malocclusion of tooth in both jaws and diagnosed as traecher Collin syndrome (variant) with ankylosis of temporomandibular joint. We performed GAP arthroplasty with external fixator. On follow up the patient after 6 months, patient was relieved of noisy breathing, trismus.
Kewords
Gap arthroplasty, Temporomandibular joint ankylosis, Trismus, Stridor
Reference
1. Iram Abbas et al. Temporomandibular joint ankylosis: experience with interpositional gap arthroplasty at ayub medical college abbottabad. J Ayub Med Coll Abbottabad. 2005; 17 (4). 67-69. 2. Tucker MR, Ochs MW. Management of Temporomandibular Disorders. In: Contemporary Oral and Maxillofacial surgery. 4th ed. St Louis, Missouri: Mosby; 2003: 683-84. 3. Chidzonga MM. Temporomandibular joint ankylosis: review of thirty-two cases. Br J Oral Maxillofac Surg 1999; 37: 123-6. 4. Umut Tuncel. Interpositional Arthroplasty in the Treatment of Temporomandibular Joint Ankylosis: A Review of Literature. Surgery 2011, 1:1.1-6. 5. Nadia Mansoor. Gap vs Interpositional arthroplasty in the management of temporomandibular joint ankylosis. Pakistan Oral & Dental Journal. April 2013. Vol 33, No. 1. 8-12. 6. Roychoudhury A, Parkash H, Trikha A. Functional restoration by Gap arthroplasty in temporomandibular joint ankylosis: A report of 50 cases. Oral Surg Oral Med Oral Pathol. 1999; 87:166-9. 7. Bob Rishiraj, Leland R. McFadden. Treatment of Temporomandibular Joint Ankylosis: A Case Report. J Can Dent Assoc. 2001; 67(11):659-63.
