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TMJ defect leading to facial asymmetry

Overcoming TMJ Ankylosis and Restoring Jaw Function

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A young boy’s world was turned upside down when a seemingly innocent fall led to a condition that threatened to impair his jaw movements and alter his facial appearance. Facing an increasingly difficult mouth opening and a noticeable crookedness to his chin, the boy’s parents sought expert care at Balaji Dental & Craniofacial Hospital.

A Diagnosis of Ankylosis

A thorough examination and CT scan revealed the culprit: ankylosis, a fusion of the temporomandibular joint (TMJ) that prevented the boy’s mandible (lower jaw) from growing normally. The once-normal joint space was replaced by a bony mass, hindering jaw movement and causing facial asymmetry.

Surgical Intervention and Reconstruction

Determined to restore the boy’s jaw function and prevent further facial deformities, the surgical team at Balaji Dental & Craniofacial Hospital embarked on a meticulous procedure known as gap arthroplasty with costochondral grafting.

The fused bony mass was carefully removed, paving the way for the re-establishment of joint movement. To reconstruct the damaged TMJ, a bone graft from the boy’s rib was meticulously positioned, providing a stable foundation for the joint’s restoration.

Physiotherapy for Stabilization

Following the surgery, the boy embarked on a precise physiotherapy regimen, designed to stabilize the treatment and ensure optimal jaw function. The physiotherapy focused on strengthening the muscles and connective tissues surrounding the joint, while also guiding the boy through proper jaw movements.

A Triumphant Outcome

The combined efforts of the surgical and physiotherapy teams yielded remarkable results. The boy’s jaw movements were restored, allowing him to open his mouth comfortably and eat without difficulty. Additionally, the facial asymmetry that had been a cause of concern gradually resolved, restoring the boy’s natural appearance.

A Lesson Learned

This case highlights the importance of prompt diagnosis and intervention in cases of TMJ ankylosis. Early detection and treatment can significantly improve outcomes, preventing further complications and restoring normal jaw function and facial aesthetics.

Additional Insights

  • Ankylosis is a condition that can affect both children and adults.
  • Trauma is a common cause of TMJ ankylosis.
  • Surgery is the primary treatment for ankylosis.
  • Physiotherapy is an essential component of post-operative care.
  • Early diagnosis and intervention can lead to better outcomes.

Conclusion

This inspiring story serves as a testament to the expertise and dedication of the medical professionals at Balaji Dental & Craniofacial Hospital. By combining advanced surgical techniques with comprehensive physiotherapy, they transformed a challenging situation into a successful outcome, restoring a young boy’s jaw function and facial harmony.

Tmj Ankylosis
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Dr SM Balaji

Dr. S.M. Balaji is a renowned and highly skilled oral and maxillofacial surgeon known for his expertise in complex jaw surgeries and craniofacial procedures.

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