Bilateral alloplastic total temporomandibular joint reconstruction in a five-year-old child: A case report and a review of the literature

Q3 Dentistry

Oral and Maxillofacial Surgery Cases Pub Date : 2024-07-14 DOI:10.1016/j.omsc.2024.100365

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引用次数: 0

Abstract

Temporomandibular joint (TMJ) ankylosis can lead to complete or partial obliteration of the articular space and subsequent limited mouth opening. In children, ankylosis may lead to growth disturbance of the mandible, facial deformity, obstructive sleep apnea, impaired mastication and speech with subsequent nutritional deficiencies. Reconstruction of the condyle to restore facial deformities and TMJ function is recommended as soon as ankylosis is diagnosed. Surgical treatment options vary based on age, type and extent of the ankylosis and whether its uni-or bilateral. Different treatment modalities, such as distraction osteogenesis, gap arthroplasty, costochondral graft (CCG), sternoclavicular graft and alloplastic total joint reconstruction (ATJR) are common reconstruction choices.

We present a case of a long lasting bilateral TMJ ankylosis in a 5-year-old boy with severe OSA who was treated with bilateral alloplastic total joint reconstruction with successful outcome. Even though ATJR in growing children is controversial, the potential benefits of function and quality of life should to be considered in selected cases.

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一名五岁儿童的双侧异体全颞下颌关节重建术：病例报告和文献综述

颞下颌关节（TMJ）强直可导致关节间隙完全或部分闭塞，进而导致张口受限。在儿童中，颞下颌关节强直可能导致下颌骨发育障碍、面部畸形、阻塞性睡眠呼吸暂停、咀嚼和言语障碍，进而引起营养不良。一旦确诊为下颌骨强直，建议立即进行髁突重建，以恢复面部畸形和颞下颌关节功能。根据患者的年龄、强直的类型和程度以及是单侧还是双侧，手术治疗方案也有所不同。不同的治疗方式，如牵张成骨术、间隙关节成形术、肋软骨移植术（CCG）、胸锁关节移植术和全整形全关节重建术（ATJR）都是常见的重建选择。我们介绍了一例患有严重 OSA 的 5 岁男孩的长期双侧颞下颌关节强直病例，他接受了双侧全整形全关节重建术并取得了成功。尽管对成长中的儿童进行颞下颌关节重建还存在争议，但在选定的病例中应考虑其对功能和生活质量的潜在益处。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Oral and Maxillofacial Surgery Cases Medicine-Otorhinolaryngology

CiteScore

0.60

自引率

0.00%

发文量

审稿时长

69 days

期刊介绍： Oral and Maxillofacial Surgery Cases is a surgical journal dedicated to publishing case reports and case series only which must be original, educational, rare conditions or findings, or clinically interesting to an international audience of surgeons and clinicians. Case series can be prospective or retrospective and examine the outcomes of management or mechanisms in more than one patient. Case reports may include new or modified methodology and treatment, uncommon findings, and mechanisms. All case reports and case series will be peer reviewed for acceptance for publication in the Journal.