ArticleInternational journal of surgery case reports2025
Gap arthroplasty with disc repositioning for pediatric TMJ ankylosis secondary to intracranial condylar dislocation: A case report.
Article in International journal of surgery case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
introduction and importanceA 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.
conclusionMultidisciplinary team for management and close monitory such cases is crucial to prevent further surgical complications.
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