International journal of surgery case reports · 2025
Gap arthroplasty with disc repositioning for pediatric TMJ ankylosis secondary to intracranial condylar dislocation: A case report.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
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Al Qattan Ahmed, Al Hashmi Ahmed, Naser Ibrahim, Sambrook Paul
Аннотация
INTRODUCTION AND IMPORTANCE: A rare consequence of maxillofacial trauma of an intracranial dislocation of the mandibular condyle into the middle cranial fossa. We present a case involving the management of this dislocation, complicated by temporomandibular joint (TMJ) ankylosis.
CASE PRESENTATION: An 11-year-old boy was transferred to a tertiary hospital following a road traffic accident. Examination revealed a dislocation of the right mandibular condyle into the middle cranial fossa. After closed reduction by intermaxillary fixation (IMF), the patient developed TMJ ankylosis and the initial mouth opening was 8 mm due to prolonged IMF. He subsequently referred to the National Maxillofacial Unit in Muscat, Oman for expert management and treatment.
CLINICAL DISCUSSION: A pre-operative CT scan revealed an ankylotic bone mass in the left TMJ area. The patient underwent TMJ gap arthroplasty and disc repositioning under general anesthesia. Post-operatively, the patient's mouth opening improved to 43 mm.
CONCLUSION: Multidisciplinary team for management and close monitory such cases is crucial to prevent further surgical complications.
CASE PRESENTATION: An 11-year-old boy was transferred to a tertiary hospital following a road traffic accident. Examination revealed a dislocation of the right mandibular condyle into the middle cranial fossa. After closed reduction by intermaxillary fixation (IMF), the patient developed TMJ ankylosis and the initial mouth opening was 8 mm due to prolonged IMF. He subsequently referred to the National Maxillofacial Unit in Muscat, Oman for expert management and treatment.
CLINICAL DISCUSSION: A pre-operative CT scan revealed an ankylotic bone mass in the left TMJ area. The patient underwent TMJ gap arthroplasty and disc repositioning under general anesthesia. Post-operatively, the patient's mouth opening improved to 43 mm.
CONCLUSION: Multidisciplinary team for management and close monitory such cases is crucial to prevent further surgical complications.