Management of Post-traumatic Unilateral Temporomandibular Joint Ankylosis Caused by Undiagnosed Pediatric Condylar Fracture: A Case Series
Undiagnosed condylar fracture in children at the time of trauma could end up in a condition that causes fusion of mandibular condyle with skull base, known as temporomandibular joint (TMJ) ankylosis which results in restricted mouth opening and patient has problem in chewing, speech and has facial a...
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| Format: | Article |
| Language: | English |
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Jaypee Brothers Medical Publisher
2025-07-01
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| Series: | Journal of South Asian Association of Pediatric Dentistry |
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| Online Access: | https://www.jsaapd.com/doi/JSAAPD/pdf/10.5005/jp-journals-10077-3349 |
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| author | Sandeep Kumar Pandey Manabendra Baidya Kuldeep Vishwakarma Himanshu Garg |
| author_facet | Sandeep Kumar Pandey Manabendra Baidya Kuldeep Vishwakarma Himanshu Garg |
| author_sort | Sandeep Kumar Pandey |
| collection | DOAJ |
| description | Undiagnosed condylar fracture in children at the time of trauma could end up in a condition that causes fusion of mandibular condyle with skull base, known as temporomandibular joint (TMJ) ankylosis which results in restricted mouth opening and patient has problem in chewing, speech and has facial asymmetry due to chin deviation in unilateral cases. Surgical intervention is the treatment of choice for such patients, followed by aggressive postoperative mouth-opening exercises. In Cases with significant chin deviation, the treatment of choice is interposition arthroplasty with costochondral graft (CCG) to provide growth catch-up. Buccal fat pad (BFP) is interposed between the ramal stump and skull base to prevent recurrence. Here we are presenting a case series of three pediatric post-traumatic unilateral TMJ ankylosis patients who were successfully managed. The motive behind this article is to develop awareness about the consequences of undiagnosed pediatric condylar fractures, which could lead to the troublesome condition TMJ ankylosis, which severely affects quality of life and creates psychological anguish in children. |
| format | Article |
| id | doaj-art-5c12d911cae44352a0cdcffdd6b1d951 |
| institution | Kabale University |
| issn | 2582-1024 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Jaypee Brothers Medical Publisher |
| record_format | Article |
| series | Journal of South Asian Association of Pediatric Dentistry |
| spelling | doaj-art-5c12d911cae44352a0cdcffdd6b1d9512025-08-20T03:41:47ZengJaypee Brothers Medical PublisherJournal of South Asian Association of Pediatric Dentistry2582-10242025-07-018214915310.5005/jp-journals-10077-334915Management of Post-traumatic Unilateral Temporomandibular Joint Ankylosis Caused by Undiagnosed Pediatric Condylar Fracture: A Case SeriesSandeep Kumar Pandey0https://orcid.org/0000-0001-5170-2211Manabendra Baidya1https://orcid.org/0000-0001-9658-8889Kuldeep Vishwakarma2https://orcid.org/0000-0003-3126-5215Himanshu Garg3https://orcid.org/0000-0002-8464-2232Sandeep Kumar Pandey, Department of Dentistry, Government Institute of Medical Sciences, Greater Noida, Uttar Pradesh, India, Phone: +91 9818603821Department of General Surgery, Government Institute of Medical Sciences, Greater Noida, Uttar Pradesh, IndiaSpecialty of Oral and Maxillofacial Surgery, Apex Trauma Centre, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, IndiaDepartment of Dentistry, Government Institute of Medical Sciences, Greater Noida, Uttar Pradesh, IndiaUndiagnosed condylar fracture in children at the time of trauma could end up in a condition that causes fusion of mandibular condyle with skull base, known as temporomandibular joint (TMJ) ankylosis which results in restricted mouth opening and patient has problem in chewing, speech and has facial asymmetry due to chin deviation in unilateral cases. Surgical intervention is the treatment of choice for such patients, followed by aggressive postoperative mouth-opening exercises. In Cases with significant chin deviation, the treatment of choice is interposition arthroplasty with costochondral graft (CCG) to provide growth catch-up. Buccal fat pad (BFP) is interposed between the ramal stump and skull base to prevent recurrence. Here we are presenting a case series of three pediatric post-traumatic unilateral TMJ ankylosis patients who were successfully managed. The motive behind this article is to develop awareness about the consequences of undiagnosed pediatric condylar fractures, which could lead to the troublesome condition TMJ ankylosis, which severely affects quality of life and creates psychological anguish in children.https://www.jsaapd.com/doi/JSAAPD/pdf/10.5005/jp-journals-10077-3349condylar fracturepediatrictemporomandibular jointunilateral ankylosis |
| spellingShingle | Sandeep Kumar Pandey Manabendra Baidya Kuldeep Vishwakarma Himanshu Garg Management of Post-traumatic Unilateral Temporomandibular Joint Ankylosis Caused by Undiagnosed Pediatric Condylar Fracture: A Case Series Journal of South Asian Association of Pediatric Dentistry condylar fracture pediatric temporomandibular joint unilateral ankylosis |
| title | Management of Post-traumatic Unilateral Temporomandibular Joint Ankylosis Caused by Undiagnosed Pediatric Condylar Fracture: A Case Series |
| title_full | Management of Post-traumatic Unilateral Temporomandibular Joint Ankylosis Caused by Undiagnosed Pediatric Condylar Fracture: A Case Series |
| title_fullStr | Management of Post-traumatic Unilateral Temporomandibular Joint Ankylosis Caused by Undiagnosed Pediatric Condylar Fracture: A Case Series |
| title_full_unstemmed | Management of Post-traumatic Unilateral Temporomandibular Joint Ankylosis Caused by Undiagnosed Pediatric Condylar Fracture: A Case Series |
| title_short | Management of Post-traumatic Unilateral Temporomandibular Joint Ankylosis Caused by Undiagnosed Pediatric Condylar Fracture: A Case Series |
| title_sort | management of post traumatic unilateral temporomandibular joint ankylosis caused by undiagnosed pediatric condylar fracture a case series |
| topic | condylar fracture pediatric temporomandibular joint unilateral ankylosis |
| url | https://www.jsaapd.com/doi/JSAAPD/pdf/10.5005/jp-journals-10077-3349 |
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