Patel Samarpan, Ninave Sanjot
Anaesthesiology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Cureus. 2024 Apr 12;16(4):e58153. doi: 10.7759/cureus.58153. eCollection 2024 Apr.
Temporomandibular joint (TMJ) ankylosis is a form of TMJ condition that causes mouth opening limitation, ranging from partial reduction to total immobilization of the jaw. Bony and fibrous ankylosis is most commonly caused by trauma, although it can also happen as a result of surgery, local or systemic infections, or systemic diseases. Childhood TMJ produces facial deformities, which increase with growth and have a major detrimental impact on the patient's psychological development. Each patient with TMJ ankylosis must have a history, physical examination, and radiographic examination in order to determine a definitive diagnosis, severity, involvement of surrounding tissues, and, ultimately, treatment planning. Technical challenges and a high recurrence rate make treating TMJ ankylosis challenging. Intubating a young child with TMJ ankylosis is a difficult job, which is exacerbated by limited mouth opening. This case report describes a five-year-old boy who reported an inability to open his mouth, diagnosed as TMJ ankylosis, and managed in the absence of an appropriately sized tracheostomy tube.
颞下颌关节(TMJ)强直是颞下颌关节疾病的一种形式,可导致张口受限,范围从部分受限到完全无法张口。骨性和纤维性强直最常见的原因是创伤,不过也可能因手术、局部或全身感染或全身性疾病而发生。儿童颞下颌关节强直会导致面部畸形,这种畸形会随着生长而加重,对患者的心理发育产生重大不利影响。每位颞下颌关节强直患者都必须进行病史、体格检查和影像学检查,以确定明确的诊断、严重程度、周围组织受累情况,并最终制定治疗方案。技术挑战和高复发率使得治疗颞下颌关节强直具有挑战性。给患有颞下颌关节强直的幼儿插管是一项困难的工作,而张口受限会使情况更加恶化。本病例报告描述了一名五岁男孩,他报告无法张口,被诊断为颞下颌关节强直,并且在没有合适尺寸气管切开套管的情况下进行了治疗。