Management of Temporomandibular Joint Ankylosis

Temporomandibular joint ankylosis is a debilitating condition characterized by abnormal bony fusion within the joint, resulting in restricted jaw movement, facial asymmetry, and functional impairment. It commonly arises from trauma but may also result from infection, inflammation, or systemic factors. Diagnosis relies on detailed imaging, via computed tomography scans, to guide surgical planning. Management requires careful airway considerations and a structured surgical approach, with osteoarthrectomy forming the cornerstone of treatment. Reconstruction aims to restore mandibular height and function using techniques such as costochondral grafting, distraction osteogenesis, or total joint replacement, selected based on patient age, severity, and recurrence risk.