Open AccessA multidisciplinary approach to the management of temporomandibular joint ankylosis in a sickle-cell anemia patient in a resource-limited setting
Author(s) -
Ramat Oyebunmi Braimah,
Taoreed Oladejo,
Timothy Oyetunde Olarinoye,
Adedapo Omowonuola Adetoye,
Patrick Olanrewaju Osho
Publication year - 2016
Publication title -
annals of maxillofacial surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.365
H-Index - 6
ISSN - 2231-0746
DOI - 10.4103/2231-0746.186124
Subject(s) - medicine , temporomandibular joint , hematologist , ankylosis , multidisciplinary approach , perioperative , septic arthritis , anemia , surgery , dentistry , arthritis , disease , social science , sociology
This report describes the multidisciplinary management of a 35-year-old female sickle-cell anemia patient who had unilateral bony ankylosis of the left temporomandibular joint secondary to septic arthritis. She was managed by a team comprising of maxillofacial surgeons, anesthetists, otorhinolaryngologist, and hematologist. Unilateral left interpositional arthroplasty and ipsilateral coronoidectomy through a postrami approach were done and followed by aggressive jaw physiotherapy in the postsurgical period. No perioperative morbidity was encountered. Mouth opening of 3.5 cm was achieved and maintained 7 months after surgery. Challenges and rationale for the use of a multidisciplinary team approach in treatment of such cases were discussed.