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Ann Maxillofac Surg. 2016 Jan-Jun;6(1):130-4. doi: 10.4103/2231-0746.186124.

A multidisciplinary approach to the management of temporomandibular joint ankylosis in a sickle-cell anemia patient in a resource-limited setting.

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Department of Dental and Maxillofacial Surgery, Usmanu Danfodio University Teaching Hospital, Sokoto, Nigeria.
Department of Plastic and Oral & Maxillofacial Surgery, National Orthopaedic Hospital, Dala, Kano, Nigeria.
Department of Ear, Nose and Throat, Ondo State Trauma and Surgical Centre, Ondo, Nigeria.
Department of Anaesthesia, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Osun State, Nigeria.
Department of Heamatology/Virology, Ondo State Trauma and Surgical Centre, Ondo, Nigeria.


This report describes the multidisciplinary management of a 35-year-old female sickle-cell anemia patient who had unilateral bony ankylosis of the left temporomandibular joint secondary to septic arthritis. She was managed by a team comprising of maxillofacial surgeons, anesthetists, otorhinolaryngologist, and hematologist. Unilateral left interpositional arthroplasty and ipsilateral coronoidectomy through a postrami approach were done and followed by aggressive jaw physiotherapy in the postsurgical period. No perioperative morbidity was encountered. Mouth opening of 3.5 cm was achieved and maintained 7 months after surgery. Challenges and rationale for the use of a multidisciplinary team approach in treatment of such cases were discussed.


Bony ankylosis; multidisciplinary; physiotherapy; sickle-cell anemia; temporomandibular joint

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