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Poliomyelitis causing TMJ ankylosis?--report of two intriguing cases

Sanjay Pasupathy1, V Yuvaraj

  • 1Department of Oral and Maxillofacial Surgery, Sri Manakula Vinayagar Medical College and Hospital, Kalitheerthalkuppam, Pondicherry (Union Territory), India. sanjaypasupathy@yahoo.co.in

Oral and Maxillofacial Surgery
|February 11, 2010
PubMed
Abstract

Insights

This study reports two rare cases of temporomandibular joint (TMJ) ankylosis in children, uniquely associated with poliomyelitis. The findings explore potential causes for this rare co-occurrence in pediatric patients.

Area of Science:

  • Oral and Maxillofacial Surgery
  • Pediatric Dentistry
  • Infectious Diseases

Background:

  • Temporomandibular joint (TMJ) ankylosis is a significant condition, particularly in pediatric populations.
  • Poliomyelitis is a viral disease that can lead to various neurological and musculoskeletal complications.
  • The co-occurrence of TMJ ankylosis and poliomyelitis is exceptionally rare and not previously documented.

Observation:

  • Two pediatric cases presented with TMJ ankylosis.
  • Both patients had a history of poliomyelitis.
  • Clinical and radiological assessments were performed to evaluate the extent of ankylosis.

Findings:

  • The study identified a unique association between poliomyelitis and the development of TMJ ankylosis in the reported cases.
  • Analysis suggests potential mechanisms linking the viral infection and subsequent joint fusion.
  • The specific etiology in these rare instances is explored, considering inflammatory and immobility factors.

Implications:

  • Highlights the need for increased awareness of potential TMJ complications in children with poliomyelitis.
  • Informs diagnostic and treatment strategies for rare TMJ ankylosis cases.
  • Contributes novel insights into the multifactorial nature of temporomandibular joint disorders.

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