Management of unilateral temporomandibular joint ankylosis &amp; orthomorphic correction in a patient with Marfan syndrome: A rare case report

Rudagi, B. M.; Rishabh, Jain; Merchant, Arif; Namrata, Chourasia; Shahbaaz, Naikwade; Gaurav, Bhavar

doi:10.1016/j.ijscr.2020.09.033

Cited by 4 publications

(1 citation statement)

References 9 publications

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“…Facial asymmetry resulting from TMJ ankylosis poses a unique challenge to clinicians, as it requires a comprehensive treatment approach that addresses both the functional and aesthetic aspects. Surgical intervention is often necessary to restore normal jaw function, improve facial symmetry, and enhance the patient's quality of life [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Orthomorphic Correction for Facial Asymmetry in a Patient With Long-Standing Temporomandibular Joint Ankylosis: A Case Report

Contractor¹,

Rudagi²,

Bhate³

et al. 2023

Cureus

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This case report presents the successful management of a 28-year-old female patient with facial deformity resulting from long-standing temporomandibular joint (TMJ) ankylosis. The patient underwent orthomorphic correction using a stereolithographic model of the upper and lower jaw to aid in surgical planning. The surgery was performed under general anesthesia via an intraoral approach. Cancellous bone graft harvested from the anterior iliac crest was utilized to cover the bone defect caused by the orthomorphic rotation of the lower jaw. The patient experienced satisfactory postoperative healing, and a six-month follow-up revealed significant improvement in facial symmetry and function.

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Section: Introductionmentioning

confidence: 99%

Orthomorphic Correction for Facial Asymmetry in a Patient With Long-Standing Temporomandibular Joint Ankylosis: A Case Report

Contractor¹,

Rudagi²,

Bhate³

et al. 2023

Cureus

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Late diagnosis of Marfan syndrome is associated with unplanned aortic surgery and cardiovascular death

Claus,

Schoof,

Mir

et al. 2024

The Journal of Thoracic and Cardiovascular Surgery

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Orthomorphic surgery for correction of mandibular dysmorphology post TMJ ankylosis - A report of 4 cases and review of literature

SHUKLA¹,

Degala²

2023

j.maxilo

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Mandibular dysmorphology is predominantly a result of uncoordinated growth deficiency or surfeit. Unilateral temporomandibular joint ankylosis during the active growth phase, if left unoperated, brings about changes in the size and shape of the mandible and the surrounding structures. The use of orthognathic surgery in correcting the facial deformities arising from discrepancies in spatial relationships although well accepted is unable to correct anomalies arising from an altered morphology. The surgical correction using orthomorphic principles restore the morphology without changing the occlusal status, thus proving to be an invaluable addition to a maxillofacial surgeon's repertoire.Four patients previously operated on for unilateral temporomandibular ankylosis having mandibular asymmetry were managed by orthomorphic correction. The etiological factor in all the recruited patients was trauma to the temporomandibular joint during childhood. The patients were evaluated for neurosensory changes, assessment of mouth opening before and after surgery, postoperative assessment of mandibular symmetry, and postoperative complications on 3 rd day, 3 weeks, and 3 months postoperatively. Good to moderate asymmetry correction was seen in all the cases. Mental nerve paraesthesia was noted in one patient. No postoperative complications were noted.The described technique can be used as a complement to conventional orthognathic surgery or as a reliable single-stage treatment alternative for complex dysmorphic entities.

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Management of unilateral temporomandibular joint ankylosis & orthomorphic correction in a patient with Marfan syndrome: A rare case report

Cited by 4 publications

References 9 publications

Orthomorphic Correction for Facial Asymmetry in a Patient With Long-Standing Temporomandibular Joint Ankylosis: A Case Report

Orthomorphic Correction for Facial Asymmetry in a Patient With Long-Standing Temporomandibular Joint Ankylosis: A Case Report

Late diagnosis of Marfan syndrome is associated with unplanned aortic surgery and cardiovascular death

Orthomorphic surgery for correction of mandibular dysmorphology post TMJ ankylosis - A report of 4 cases and review of literature

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