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

Abstract

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.

Conservative orthodontic fixed appliance management of pediatric mandibular bilateral condylar fracture

“…32 The risk of TMJs ankylosis in our patient was therefore present. However, we do not anticipate ankylosis in this patient but will monitor at every recall appointment.…”

Oral motor and electromyographic characterization of adults with facial fractures: a comparison between different fracture severities

“…Post-traumatic ankylosis, for example, can arise from intra-capsular condylar fractures. Temporomandibular joint (TMJ) ankylosis is an extremely disabling affliction that causes problems with mastication, swallowing, speech, appearance, and hygiene 9,10. Studies that describe and evaluate the impact of condylar fractures on the functions performed by the oral myofunctional system are limited.…”

“…Studies that describe and evaluate the impact of condylar fractures on the functions performed by the oral myofunctional system are limited. However, it is known that mandibular movements are necessary to maintain the production of synovial fluid 9,10. Therefore, one would expect the limitation, or even the impossibility, of mouth opening to have severe consequences for the TMJ, not only with respect to maintenance of joint lubrication but also to the overall mandibular range of motion 11.…”

Ankylosis Due Sequel Of Fracture Of The Mandibular Condyle: Case Report

“…The intraarticular is the fusion of the condyle, the disc and the complex of the mandibular fossa that occurs within the limits of the joint capsule, the extra-articular affects the coronoid process of mandible and adjacent structures. The classification according to Sawhney (1989), which is type I to IV, through the structure found ankylosed and a type of merged fabric [3]. It can also be classified as the type of material involved (osseous, fibrous or fibro-osseous) and as to the extent of fusion which can be partial or complete [4].…”