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Bilateral temporomandibular joint ankylosis as sequel of bilateral fracture of the mandibular condyle and symphysis

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Abstract

Background

Temporomandibular joint (TMJ) ankylosis is an extremely disabling affliction that causes problems in mastication, digestion, speech, appearance, and hygiene. The disease also has an impact on the psychological development of the patients.

Case report

A 49-year-old male patient came to our unit with complaint of restriction in his alimentation and of mouth opening. In the anamnesis, the patient reported that this limitation began 11 years ago, soon after a serious car accident that caused trauma on the face. In the clinical examination, the patient’s mouth opening was 1 mm, and there was satisfactory occlusion. He was diagnosed with bilateral temporomandibular joint (TMJ) ankylosis after an imaging examination.

Discussion

In order to confirm the post-traumatic etiology of the anquilose, we got the medical records from the hospital where the patient received the first treatment. The records, at that time, reported facial trauma with bilateral condylar fracture and comminuted symphyseal fracture which was reduced and fixed followed by maxillomandibular fixation that remained for 45 days. After collecting all the information needed for diagnosis, surgical treatment was proposed through arthroplasty. The patient was placed on immediate post-operative jaw physiotherapy, and 12 months after surgery, his mouth opening improved to 35 mm. Thus, in our case, ankylosis may have been developed as a sequel of the mandibular fractures.

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Ethical approval

The approval of the Committee on Ethics in Research/CEP/UFMS granted approval of this work through the free informed consent given to the patient responsible for the reporting of this case. Number of protocol: 1280.

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Authors and Affiliations

  1. Department Oral and Maxillofacial Surgery, College Hospital of the Federal University of Mato Grosso do Sul, Campo Grande, Brazil

    Matheus B Benaglia, Ellen Cristina Gaetti-Jardim, Janayna G Paiva Oliveira & Jose Carlos Garcia Mendonça

Authors
  1. Matheus B Benaglia
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  2. Ellen Cristina Gaetti-Jardim
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  3. Janayna G Paiva Oliveira
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  4. Jose Carlos Garcia Mendonça
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Corresponding author

Correspondence to Ellen Cristina Gaetti-Jardim.

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Benaglia, M.B., Gaetti-Jardim, E.C., Oliveira, J.G.P. et al. Bilateral temporomandibular joint ankylosis as sequel of bilateral fracture of the mandibular condyle and symphysis. Oral Maxillofac Surg 18, 39–42 (2014). https://doi.org/10.1007/s10006-012-0384-z

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  • DOI: https://doi.org/10.1007/s10006-012-0384-z

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