Jayavelu Perumal, Shrutha S P, Vinit G B
Department of Oral and Maxillofacial Surgery, Eklavya Dental College, Kotputli, Rajasthan, India.
Department of Pedodontics and Preventive Dentistry, Rama Dental College, Hospital and Research Centre, Kanpur, Uttar Pradesh, India.
J Pharm Bioallied Sci. 2014 Jul;6(Suppl 1):S178-81. doi: 10.4103/0975-7406.137450.
Temperomandibular joint (TMJ) ankylosis or hypo mobility involves fusion of the mandibular condyle to the base of the skull. Impairment of speech, difficulty in mastication, poor oral hygiene, rampant caries, and acute compromise of the airway pose a severe psychological burden on the tender minds of children. The treatment of TMJ ankylosis poses a significant challenge because of technical difficulties and a high incidence of recurrence. This report describes a case of 7-year-old with inability to open mouth, diagnosed with unilateral right bony TMJ ankylosis. The surgical approach consisted of inter-positional arthroplasty followed by physiotherapy. A detailed history, clinical and functional examination, and radiographic examination facilitating correct diagnosis followed by immediate surgical intervention and physiotherapy can help us to restore physical, psychological and emotional health of the child patient.
颞下颌关节（TMJ）强直或活动度降低涉及下颌髁突与颅底融合。言语障碍、咀嚼困难、口腔卫生差、猖獗龋以及气道急性受压对儿童脆弱的心灵造成了沉重的心理负担。由于技术难题和高复发率，颞下颌关节强直的治疗面临重大挑战。本报告描述了一例7岁患儿，因无法张口，被诊断为右侧单侧骨性颞下颌关节强直。手术方法包括关节间置换术，随后进行物理治疗。详细的病史、临床和功能检查以及影像学检查有助于正确诊断，随后立即进行手术干预和物理治疗，这有助于恢复儿童患者的身体、心理和情感健康。
