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Related Experiment Videos

[Spheno-mandibular ankylosis. A case].

J M Péron1, J Masson, P Delcampe

  • 1Service de Chirurgie Maxillo-Faciale et Stomatologie, Hôpital Charles-Nicolle, Centre Hospitalier Universitaire, Rouen.

Revue De Stomatologie Et De Chirurgie Maxillo-Faciale
|May 27, 1999
PubMed
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This case report details a rare instance of temporomandibular joint ankylosis in a child, successfully treated with surgical resection and costochondral grafting. The patient experienced no recurrence after three years, highlighting effective surgical management for this condition.

Area of Science:

  • Oral and Maxillofacial Surgery
  • Pediatric Orthopedics
  • Surgical Pathology

Background:

  • Temporomandibular joint (TMJ) ankylosis is a debilitating condition characterized by restricted jaw movement.
  • It can result from trauma, infection, or developmental abnormalities, significantly impacting a child's quality of life.
  • Idiopathic cases, like the one presented, pose diagnostic challenges.

Observation:

  • A 12-year-old child presented with severe limitation of mouth opening.
  • Surgical exploration and histological examination did not confirm suspected myositis ossificans of the pterygoid muscles.
  • The ankylosis involved the spheno-mandibular articulation.

Findings:

  • Surgical resection of the spheno-mandibular ankylosis was performed via an intra-oral approach.

Related Experiment Videos

  • Reconstruction of the mandibular ramus utilized a costochondral graft.
  • Histological examination of the resected tissue was inconclusive for myositis ossificans.

    • Implications:

    • This case demonstrates the successful surgical management of rare spheno-mandibular ankylosis in a pediatric patient.
    • An intra-oral approach and costochondral grafting are viable reconstructive options.
    • Long-term follow-up confirmed the absence of recurrence, supporting the efficacy of the chosen surgical technique.