Treatment of bilateral ankylosis of the temporomandibular joint with temporalis superficial fascia interpositional flap

Yusuf, Harmas Yazid
Kasim, Alwin
Karasutisna, Tis

Padjadjaran Journal of Dentistry
Vol 19, No 1 (2007): March

Ankylosis of the temporomandibular joint (TMJ) involves fusion of the mandibular condyle to the base of the skull. Trauma and infection are the leading causes of ankylosis. A case of true bilateral ankylosis of the temporomandibular joint is presented. A 21-year-old male patient had a multiple bone fractures history at the age of 13 due to a sports injury. A TMJ injury might not be detected at that time resulting in a progressive restriction of his mouth opening. He presented with almost complete lack of mobility of the mandible. Surgical treatment was a resection of the ankylotic bone mass, interposition temporalis superficial fascia flaps, and early mobilization and aggressive physiotherapy. The functional results showed good remarks.