TMJ Ankylosis as a Complication of Severe Mastoiditis in Toddlers: Pilot Study

Omri Emodi1,2, Yair Israel1, Boaz Frenkel1

  • 1From the Department of Oral and Maxillofacial Surgery, Rambam Medical Care Campus, Haifa, Israel.

Abstract

Insights

A new surgical protocol and 3D technology offer improved outcomes for toddlers with temporomandibular joint (TMJ) ankylosis, a rare complication of acute otitis media. This multidisciplinary approach enhances function and aesthetics post-treatment.

Area of Science:

  • Pediatric Surgery
  • Oral and Maxillofacial Surgery
  • Biomedical Engineering

Background:

  • Acute otitis media is a common childhood infection.
  • Mastoiditis, a rare complication, can lead to temporomandibular joint (TMJ) ankylosis if untreated.
  • TMJ ankylosis impairs function and hinders child development.

Purpose of the Study:

  • To introduce a novel protocol for treating TMJ ankylosis in toddlers.
  • To highlight the integration of a modified surgical technique with 3D technology.
  • To emphasize a multidisciplinary approach involving various pediatric specialists.

Main Methods:

  • Utilized a modified surgical technique for TMJ ankylosis.
  • Incorporated in-house 3D technology for preoperative planning and simulation.
  • Employed a multidisciplinary team including maxillofacial surgeons, pediatric anesthesiologists, orthodontists, and physical therapists.

Main Results:

  • A 3D-printed nasal airway model aided in planning nasal intubation.
  • The surgical technique minimized risks of temporalis muscle herniation and facial nerve paralysis.
  • Postoperative bite blocks effectively prevented soft tissue contraction, maintaining mouth opening.

Conclusions:

  • A modified surgical technique within a multidisciplinary framework improves outcomes for pediatric TMJ ankylosis.
  • The approach enhances both functional recovery and aesthetic results.
  • This protocol offers a promising solution for treating TMJ ankylosis in young children.

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