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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.

Author information

1
Department of Dental and Maxillofacial Surgery, Usmanu Danfodio University Teaching Hospital, Sokoto, Nigeria.
2
Department of Plastic and Oral & Maxillofacial Surgery, National Orthopaedic Hospital, Dala, Kano, Nigeria.
3
Department of Ear, Nose and Throat, Ondo State Trauma and Surgical Centre, Ondo, Nigeria.
4
Department of Anaesthesia, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Osun State, Nigeria.
5
Department of Heamatology/Virology, Ondo State Trauma and Surgical Centre, Ondo, Nigeria.

Abstract

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.

KEYWORDS:

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

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