Dental Journal (Majalah Kedokteran Gigi)
ISSN 1978-3728
Vol. 43 / No. 2 / Published : 2010-06
Order : 5, and page :67 - 71
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Original Article :
Ankylosis of the temporomandibular joint and mandibular growth disturbance caused by neglected condylar fracture in chilhood
Author :
- Endrajana*1
- Department of Oral and Maxillofacial Surgery Faculty of Dentistry, Airlangga University Surabaya - Indonesia
Abstract :
Background: Fractures of the mandibular condyle may lead to complications such as disturbance of occlusal function, internal derangement of the joint, ankylosis and mandibular growth disturbance. When treating young patients with the history of mandible trauma, ankylosis of the temporomandibular joint and mandibular growth disturbance are two most important complications of condyle fracture that should be considered. Purpose: This case report attempts to emphasize the long term complication of neglected condylar fracture in children i.e. ankylosis of the temporomandibular joint and subsequently lead to mandibular growth disturbance. Case: A case of right temporo-mandibular joint ankylosis and mandibular growth disturbance in a 28 years old patient is presented. He had a history of trauma to the mandible during a traffic accident when he was 8 years old. Since then, he experienced difficulty in mouth opening which eventually developed into severe trismus. Case management: The case was treated surgically with gap and interpositional arthroplasty using Mersilen mesh™. Conclusion: Mandibular fractures involving temporomandibular joint in young children should be examined thoroughly and treated adequately in order to prevent ankylosis of the TMJ and the subsequent mandibular growth disturbance.
Keyword :
Condylar fracture, ankylosis, mandibular growth disturbance,
References :
Gerlach KL ,(2007) Surgical management of mandibular, condylar neck, and atropic mandible fractures. - : Churchill, Livingstone
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Volume : 43 / No. : 2 / Pub. : 2010-06 |
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