Muhammad Afzal, Muhammad Wasim Ibrahim, Shahid Shuja Qazi.
Management of Temporomandibular joint ankylosis by Interpositional Arthroplasty using temporalis muscle flap.
Pak Armed Forces Med J Jan ;58(1):96-9.

A 14 years old girl reported with the presenting complaint of difficulty in opening the mouth and inability to chew for the last 09 years. Her history revealed that she sustained trauma 09 yrs back, which resulted in gradual restriction of jaw movements. The clinical examination revealed facial asymmetry, deviation of the lower jaw towards right side and limited mouth opening with incisal edge distance (IED) of 8 mm. Anterior open bite, missing right maxillary canine and class II molar relation on right side was evident on infra oral examination. Radiographic investigations included Orthopantomogram (OPG) of the patient, which revealed complete bony ankylosis of the right TMJ. Arthroplasty of right TMJ with temporalis muscle interpositioning, post operative physiotherapy, orthodontic treatment for the correction of malocclusion and orthognathic surgery for improvement in facial asymmetry. One year follow up completed and it showed the same satisfied level of mouth opening.

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