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Case Reports in Otolaryngology
Volume 2016, Article ID 5802359, 4 pages
http://dx.doi.org/10.1155/2016/5802359
Case Report

Congenital Temporomandibular Joint Ankylosis: Case Report and Literature Review

1Colchester Hospital University NHS Foundation Trust, Turner Road, Colchester, Essex CO4 5JL, UK
2Northwick Park Hospital, Watford Road, Harrow, Middlesex HA1 3UJ, UK
3Chelsea and Westminster Hospital, 369 Fulham Road, London SW10 9NH, UK
4Lister Hospital, Chelsea Bridge Road, London SW1W 8RH, UK

Received 1 December 2015; Revised 13 February 2016; Accepted 15 February 2016

Academic Editor: Tamás Karosi

Copyright © 2016 Ryan Chin Taw Cheong et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Congenital temporomandibular joint (TMJ) ankylosis is an uncommon condition that presents itself at or soon after birth in the absence of acquired factors that could have contributed to the ankylosis such as infection and trauma. The experience of managing one such case is reported in light of a review of the literature on this condition. Key management principles include adequate removal of the ankylotic mass, costochondral grafting, and post-op physiotherapy. Most patients reported in the literature with the condition experienced relapse. This echoes our own experience where there was recurrence of the ankylosis. However, after removal of the ankylotic mass, the patient maintains a satisfactory maximal incisal opening (MIO) till the present day. The additional challenges faced in the congenital form in addition to the already complex management of acquired paediatric temporomandibular joint ankylosis are (1) much earlier insult to the TMJ, (2) reduced opportunity for neuromuscular development of the muscles of mastication, and (3) reduced compliance with postoperative physiotherapy programmes due to the younger age of these patients.