#tmjoint

Bony TMJ Ankylosis Release through Submandibular Approach This young boy had suffered an injury to his jaw as a child and had subsequently developed ankylosis of his right TMJ. His mouth opening had slowly decreased to the point where he is now able to open his mouth by only 0.5 cm resulting in difficulty with eating. His upper central incisors had been extracted to facilitate feeding, but he still continued to have difficulties with both speech and eating. A social worker had subsequently referred him to our hospital. He was bronchoscopically intubated as he had inability to open his mouth. The ankylosis was released through a submandibular incision. His postsurgical mouth opening was 4.5 cm. It was explained to his parents that he needed to do regular mouth opening exercises everyday to ensure that the joint did not get reankylosed. They expressed understanding of the instructions. 📞 Phone: +91 44 4294 7222 📬 Email: [email protected] 🌍 Website: www.smbalaji.com 📍 Location: Chennai, India #tmjsurgery #tmj #tmjankylosis #temporomandibularjoint #tmjoint #tmjointsurgrey #drsmbalaji #smbalaji #balajidental #maxillofacialsurgeon #maxillofacialsurgery #india #chennai #tamilnadu (at Balaji Dental and Craniofacial Hospital) https://www.instagram.com/p/CCJFVdGHcfi/?igshid=12p39cp2agn95

TMJ Ankylosis Release with Interpositioning of Temporalis Flap This young lady had suffered an injury to her jaw as a child, which had not been addressed at that time. She had subsequently developed ankylosis of her left temporomandibular joint. She now has nil mouth opening and has lost many teeth due to dental caries arising from years of inability to perform oral prophylaxis.. Treatment planning was explained to her and she consented to surgery. Bronchoscopic intubation was performed because of the inability to open her mouth. The ankylosed left TMJ was first exposed through a preauricular endaural approach using a modified Alkayat-Bramley incision. Extreme care was taken to ensure that there was no damage to the facial nerve. Ankylosis was released and a temporalis muscle flap was interposed in the joint to prevent reankylosis of the joint https://www.ijoms.com/article/S0901-5027(03)90396-6/fulltext. Dr SM Balaji describes this innovative technique in 2007. This was followed by a right-sided coronoidectomy. She had 5 cm of mouth opening after the completion of the surgical procedure and was advised to continue with mouth opening exercises as instructed. 📞 Phone: +91 44 4294 7222 📬 Email: [email protected] 🌍 Website: www.smbalaji.com 📍 Location: Chennai, India #tmjsurgery #tmj #tmjankylosis #temporomandibularjoint #tmjoint #tmjointsurgrey #drsmbalaji #smbalaji #balajidental #maxillofacialsurgeon #maxillofacialsurgery #india #chennai #tamilnadu (at Balaji Dental and Craniofacial Hospital) https://www.instagram.com/p/CBSx8mvl5_0/?igshid=1kozqnl0wz5rj

TMJ Ankylosis Release with Gap Arthroplasty for Sleep Apnea Correction This young lady had been involved in a road traffic accident many years ago. An undiagnosed minor injury to the right TMJ had resulted in ankylosis with subsequent retarded growth of the mandible. There was also deviation of the mandible to the right side. It worsened to the point where she could not open her mouth. She had subsequently developed obstructive sleep apnea and snoring because of the retruded mandible. A surgeon in her hometown had referred her to our hospital for treatment. Imaging studies including a 3D CT scan revealed an ankylosed right TMJ and an extremely retruded mandible. Sleep studies revealed that she had obstructive sleep apnea with very poor oxygen saturation levels. Treatment planning was explained to her and she consented to surgery. She underwent an ankylosis release of the right TMJ with gap arthroplasty and interpositioning of the temporalis muscle. This was followed by a left coronoidectomy. Postoperative sleep studies revealed complete resolution of her sleep apnea and she had a postoperative mouth opening of 4.5 cm within a week’s time. She and her parents were very happy with the results of the surgery. 📞 Phone: +91 44 4294 7222 📬 Email: [email protected] 🌍 Website: www.smbalaji.com 📍 Location: Chennai, India #tmjsurgery #tmj #tmjankylosis #temporomandibularjoint #tmjoint #tmjointsurgrey #drsmbalaji #smbalaji #balajidental #maxillofacialsurgeon #maxillofacialsurgery #india #chennai #tamilnadu #sleepapnea (at Balaji Dental and Craniofacial Hospital) https://www.instagram.com/p/CBA63UqFgWy/?igshid=1th3wgb7bjngv