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Ann Maxillofac Surg. 2019 Jan-Jun;9(1):177-182. doi: 10.4103/ams.ams_128_17.

Orthosurgical Management of a Case of Facial Asymmetry Secondary to Temporomandibular Joint Ankylosis.

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Department of Orthodontics, ITS Dental College, Ghaziabad, Uttar Pradesh, India.


This case report describes the successful treatment of a patient with facial asymmetry secondary to temporomandibular joint ankylosis with a combined orthodontic-surgical approach. Presurgical orthodontics involved surgically assisted rapid maxillary expansion followed by a bilateral sagittal split osteotomy and LeFort I osteotomy to reposition the mandible and correct the canting of the maxilla. The total active treatment period was 24 months. A significant improvement in occlusion and facial esthetics was achieved with treatment.


Facial asymmetry; orthosurgical treatment; temporomandibular joint ankylosis

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