Treatment of Atypical Bifid Mandibular Condyle Associated with Ankylosis of the Temporomandibular Joint

Introduction. The bifid mandibular condyle (BMC) is an unusual temporomandibular joint (TMJ) disorder with controversial etiology. The association of this entity with ankylosis is rare. Objective. The objective of the present study is to report a case of BMC with associated TMJ ankylosis in a patien...

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Main Authors: Katheleen Miranda, André Sander Carneiro, Jennifer Tsi Gerber, Suyany Gabriely Weiss, Leandro Eduardo Klüppel, Rafaela Scariot
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Surgery
Online Access:http://dx.doi.org/10.1155/2019/6372897
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author Katheleen Miranda
André Sander Carneiro
Jennifer Tsi Gerber
Suyany Gabriely Weiss
Leandro Eduardo Klüppel
Rafaela Scariot
author_facet Katheleen Miranda
André Sander Carneiro
Jennifer Tsi Gerber
Suyany Gabriely Weiss
Leandro Eduardo Klüppel
Rafaela Scariot
author_sort Katheleen Miranda
collection DOAJ
description Introduction. The bifid mandibular condyle (BMC) is an unusual temporomandibular joint (TMJ) disorder with controversial etiology. The association of this entity with ankylosis is rare. Objective. The objective of the present study is to report a case of BMC with associated TMJ ankylosis in a patient with no history of trauma and/or infection. Case Report. A 17-year-old male patient sought care reporting pain on the right TMJ region and mastication difficulty due to a severe limitation of mouth opening. In the clinic and imaging examinations, a 15 mm mouth opening and BMC associated with ankylotic mass of the right TMJ were observed, besides a facial asymmetry with chin deviation to the right. The proposed treatment plan was condylectomy on the right side, bilateral coronectomy, and genioplasty, so the chin lateral deviation could be corrected, under general anesthesia. The patient remains under clinical and imaging follow-up of two years with functional stability and no signs of relapse of the ankylosis. Conclusion. The association of BMC with ankylosis is an atypical entity which must be diagnosed and treated early to prevent aesthetic and functional damages to the patient.
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institution Kabale University
issn 2090-6900
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publishDate 2019-01-01
publisher Wiley
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series Case Reports in Surgery
spelling doaj-art-636819ba83f040efb5fd5be250191c2b2025-02-03T01:02:24ZengWileyCase Reports in Surgery2090-69002090-69192019-01-01201910.1155/2019/63728976372897Treatment of Atypical Bifid Mandibular Condyle Associated with Ankylosis of the Temporomandibular JointKatheleen Miranda0André Sander Carneiro1Jennifer Tsi Gerber2Suyany Gabriely Weiss3Leandro Eduardo Klüppel4Rafaela Scariot5School of Health Science, Positivo University, Curitiba, BrazilSchool of Health Science, Positivo University, Curitiba, BrazilSchool of Health Science, Positivo University, Curitiba, BrazilSchool of Health Science, Positivo University, Curitiba, BrazilSchool of Health Science, Positivo University, Curitiba, BrazilSchool of Health Science, Positivo University, Curitiba, BrazilIntroduction. The bifid mandibular condyle (BMC) is an unusual temporomandibular joint (TMJ) disorder with controversial etiology. The association of this entity with ankylosis is rare. Objective. The objective of the present study is to report a case of BMC with associated TMJ ankylosis in a patient with no history of trauma and/or infection. Case Report. A 17-year-old male patient sought care reporting pain on the right TMJ region and mastication difficulty due to a severe limitation of mouth opening. In the clinic and imaging examinations, a 15 mm mouth opening and BMC associated with ankylotic mass of the right TMJ were observed, besides a facial asymmetry with chin deviation to the right. The proposed treatment plan was condylectomy on the right side, bilateral coronectomy, and genioplasty, so the chin lateral deviation could be corrected, under general anesthesia. The patient remains under clinical and imaging follow-up of two years with functional stability and no signs of relapse of the ankylosis. Conclusion. The association of BMC with ankylosis is an atypical entity which must be diagnosed and treated early to prevent aesthetic and functional damages to the patient.http://dx.doi.org/10.1155/2019/6372897
spellingShingle Katheleen Miranda
André Sander Carneiro
Jennifer Tsi Gerber
Suyany Gabriely Weiss
Leandro Eduardo Klüppel
Rafaela Scariot
Treatment of Atypical Bifid Mandibular Condyle Associated with Ankylosis of the Temporomandibular Joint
Case Reports in Surgery
title Treatment of Atypical Bifid Mandibular Condyle Associated with Ankylosis of the Temporomandibular Joint
title_full Treatment of Atypical Bifid Mandibular Condyle Associated with Ankylosis of the Temporomandibular Joint
title_fullStr Treatment of Atypical Bifid Mandibular Condyle Associated with Ankylosis of the Temporomandibular Joint
title_full_unstemmed Treatment of Atypical Bifid Mandibular Condyle Associated with Ankylosis of the Temporomandibular Joint
title_short Treatment of Atypical Bifid Mandibular Condyle Associated with Ankylosis of the Temporomandibular Joint
title_sort treatment of atypical bifid mandibular condyle associated with ankylosis of the temporomandibular joint
url http://dx.doi.org/10.1155/2019/6372897
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