Online ISSN: 2515-8260

Keywords : Ankylosis

Aggressive Surgical Resection Or Distraction Osteogenesis - Surgeons Dilemma In Treating Tmj Ankylosis Of Seven Year Old Malnourished Child- A Case Report

Ganesan Sureshkumar, Balasubramaniyan Nathiya,D Durairaj,James antony Bhagat M,Rajprakash B .

European Journal of Molecular & Clinical Medicine, 2023, Volume 10, Issue 1, Pages 1854-1860

This article describes the management of a 6-year-old female patient having bilateral right TMJ bony (true) ankylosis and left fibrous ankylosis having mandibular retrognathism and she was also suffering from eating, speech problems, snoring, difficulty in breathing, daytime somnolence and she is severely malnourished due to inability to eat because of nil mouth opening.. Bilateral gap arthroplasty and temporalis myofascial graft interpositioning through preauricular approach were done in surgical phase followed by the aggressive jaw physiotherapy in postsurgical period.


Ibragimov Sadullo Yusupovich; Urinboev Paizullo Urinboevich; Kudratova Gulsara Najmiddinovna; Saloxiy Otabek Ikromovich; Muxtorov Zokir Safarovich; Kuvatov Dilshod Xolmurodovich; Ashirov Mavlon Umurzokovich; Kayumov Rustam Shuxratovich

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 3, Pages 939-947

Relevance. At present, although significant progress has been made in the field of early detection of congenital malformations and conservative treatment, a large number of patients with this pathology remain untreated in a timely manner. In 10-15% of patients treated conservatively with congenital malformations of the thighs, the need for surgical treatment arises. Purpose of the study. It consists of studying the causes of complications observed during long periods of treatment of patients treated surgically on congenital malformations of the thighs and looking for measures to prevent them. In such cases, depending on the age of the patients and the severity of the discharge, surgical procedures are performed, ranging from simple open placement to repair and opening of the proximal part of the femur and the roof of the joint.This article presents the results of surgical treatment performed for 111 children with congenital hip dislocation. After 30 years, the long term results of the intervention were studied in 76 (68.5%) patients. According to observation, 22(28.9%) patients and 31(40.8%) patients demonstrated good and satisfactory long term results respectively. While results of surgical treatment for 23(30.3%) patients estimated as unsatisfactory. Identified the causes of unsatisfactory results and preventive measures were recommended.