TMJ Ankylosis

[vc_section content_layout=”full” animation_delay=”” disable=”” id=”” class=”” bg_type=”image” bg_image=”” color_overlay=”” enable_parallax=”” enable_pattern=””][vc_row content_layout=”boxed” equal_height=”” animation_delay=”” disable=”” id=”” class=”” bg_type=”image” bg_image=”” color_overlay=”” enable_parallax=”” enable_pattern=””][vc_column layout=”normal” vertical_align=”top” animation_delay=””][vu_heading style=”2″ heading=”TMJ Ankylosis | Stiff Jaw | Lock Jaw Correction” subheading=”” alignment=”left” custom_colors=”” class=””][vc_column_text]The temporomandibulat Joint enables movements of the mandible (lower jaw) to aid functions like mastication and speech. Sometimes, one or both the joints may fuse. This is most commonly seen in cases where there has been prior trauma or injury to the joint. Due to fusion of the bones, jaw movement and mouth opening gets severely restricted and extremely painful. Surgery must be done to restore joint movement.

Dr. Balaji is the first Maxillofacial Surgeon in India to be awarded a PhD in Temporomandibular Joint Surgery. He excels at gap arthroplasty with Temporalis muscle interpositioning surgery for the treatment of TMJ ankylosis. In this, the fused bone mass is removed and a part of the temporalis muscle from in front of the ear is taken and repositioned in the TMJ space.

Gap arthroplasty along with bone graft from the rib (costochondral graft) may be performed in some cases to reconstruct the temporomandibular joint with ankylosis.

Dr. Balaji is a pioneer in advocating the recent advancement is Maxillofacial Surgery-Distraction Osteogenesis as a means of temporomandibular joint reconstruction. He has successfully used this technique along with gap arthroplasty in reconstructing TMJ and correcting facial asymmetry in innumerable patients afflicted with TMJ ankylosis.[/vc_column_text][vc_row_inner equal_height=”” animation_delay=”” disable=”” id=”” class=””][vc_column_inner vertical_align=”top” animation_delay=””][vu_heading style=”1″ heading=”Case 1″ subheading=”Gap arthroplasty with costochondral graft” alignment=”left” custom_colors=”” class=””][/vc_column_inner][/vc_row_inner][vc_row_inner equal_height=”” animation_delay=”” disable=”” id=”” class=””][vc_column_inner vertical_align=”top” animation_delay=”” width=”1/3″][vu_image_box image=”2687″ ratio=”2:1″ title=”TMJ ankylosis causing stunted growth of lower jaw” description=”” read_more_text=”Read More” link=”” class=””][/vc_column_inner][vc_column_inner vertical_align=”top” animation_delay=”” width=”1/3″][vu_image_box image=”2688″ ratio=”2:1″ title=”Preoperative view showing decreased mouth opening” description=”” read_more_text=”Read More” link=”” class=””][/vc_column_inner][vc_column_inner vertical_align=”top” animation_delay=”” width=”1/3″][vu_image_box image=”2689″ ratio=”2:1″ title=”3D CT showing TMJ joint space obliteration on both sides with fused bony mass” description=”” read_more_text=”Read More” link=”” class=””][/vc_column_inner][/vc_row_inner][vc_row_inner equal_height=”” animation_delay=”” disable=”” id=”” class=””][vc_column_inner vertical_align=”top” animation_delay=”” width=”1/3″][vu_image_box image=”2691″ ratio=”2:1″ title=”3D CT showing TMJ joint space obliteration on both sides with fused bony mass” description=”” read_more_text=”Read More” link=”” class=””][/vc_column_inner][vc_column_inner vertical_align=”top” animation_delay=”” width=”1/3″][vu_image_box image=”2692″ ratio=”2:1″ title=”Harvested rib grafts (costochondral grafts)” description=”” read_more_text=”Read More” link=”” class=””][/vc_column_inner][vc_column_inner vertical_align=”top” animation_delay=”” width=”1/3″][vu_image_box image=”2693″ ratio=”2:1″ title=”TM joint reconstruction with rib graft secured to mandible with titanium screws” description=”” read_more_text=”Read More” link=”” class=””][/vc_column_inner][/vc_row_inner][vc_row_inner equal_height=”” animation_delay=”” disable=”” id=”” class=””][vc_column_inner vertical_align=”top” animation_delay=”” width=”1/3″][vu_image_box image=”2695″ ratio=”2:1″ title=”TM joint reconstruction with rib graft secured to mandible with titanium screws” description=”” read_more_text=”Read More” link=”” class=””][/vc_column_inner][vc_column_inner vertical_align=”top” animation_delay=”” width=”1/3″][vu_image_box image=”2696″ ratio=”2:1″ title=”Postoperative view showing symmetric face with prominent chin” description=”” read_more_text=”Read More” link=”” class=””][/vc_column_inner][vc_column_inner vertical_align=”top” animation_delay=”” width=”1/3″][vu_image_box image=”2697″ ratio=”2:1″ title=” Increased mouth opening a few days after surgery” description=”” read_more_text=”Read More” link=”” class=””][/vc_column_inner][/vc_row_inner][/vc_column][/vc_row][vc_row content_layout=”boxed” equal_height=”” animation_delay=”” disable=”” id=”” class=”” bg_type=”image” bg_image=”” color_overlay=”” enable_parallax=”” enable_pattern=””][vc_column layout=”normal” vertical_align=”top” animation_delay=””][vu_heading style=”1″ heading=”Case 2″ subheading=”GAP ARTHROPLASTY WITH COSTOCHONDRAL GRAFT” alignment=”left” custom_colors=”” class=””][vc_row_inner equal_height=”” animation_delay=”” disable=”” id=”” class=””][vc_column_inner vertical_align=”top” animation_delay=”” width=”1/3″][vu_image_box image=”2699″ ratio=”2:1″ title=”Retruded chin and poor lower jaw growth due to TMJ ankylosis ” description=”” read_more_text=”Read More” link=”” class=””][/vc_column_inner][vc_column_inner vertical_align=”top” animation_delay=”” width=”1/3″][vu_image_box image=”2700″ ratio=”2:1″ title=”Profile view showing lower jaw defect” description=”” read_more_text=”Read More” link=”” class=””][/vc_column_inner][vc_column_inner vertical_align=”top” animation_delay=”” width=”1/3″][vu_image_box image=”2701″ ratio=”2:1″ title=”Costochondral grafts (rib grafts ) harvested ” description=”” read_more_text=”Read More” link=”” class=””][/vc_column_inner][/vc_row_inner][vc_row_inner equal_height=”” animation_delay=”” disable=”” id=”” class=””][vc_column_inner vertical_align=”top” animation_delay=”” width=”1/3″][vu_image_box image=”2703″ ratio=”2:1″ title=”Gap arthroplasty surgery with costochongral graft ” description=”” read_more_text=”Read More” link=”” class=””][/vc_column_inner][vc_column_inner vertical_align=”top” animation_delay=”” width=”1/3″][vu_image_box image=”2704″ ratio=”2:1″ title=”Gap arthroplasty surgery with costochongral graft ” description=”” read_more_text=”Read More” link=”” class=””][/vc_column_inner][vc_column_inner vertical_align=”top” animation_delay=”” width=”1/3″][vu_image_box image=”2705″ ratio=”2:1″ title=”Improved facial appearance and chin made more prominent following surgery ” description=”” read_more_text=”Read More” link=”” class=””][/vc_column_inner][/vc_row_inner][vc_row_inner equal_height=”” animation_delay=”” disable=”” id=”” class=””][vc_column_inner vertical_align=”top” animation_delay=”” width=”1/3″][vu_image_box image=”2706″ ratio=”2:1″ title=”Enhanced facial profile following surgery” description=”” read_more_text=”Read More” link=”” class=””][/vc_column_inner][vc_column_inner vertical_align=”top” animation_delay=”” width=”1/3″][/vc_column_inner][vc_column_inner vertical_align=”top” animation_delay=”” width=”1/3″][/vc_column_inner][/vc_row_inner][vu_heading style=”1″ heading=”Case 3″ subheading=”Unilateral ankylosis – Gap arthroplasty with costochondral graft” alignment=”left” custom_colors=”” class=””][vc_row_inner equal_height=”” animation_delay=”” disable=”” id=”” class=””][vc_column_inner vertical_align=”top” animation_delay=”” width=”1/4″][vu_image_box image=”2710″ ratio=”2:1″ title=”Facial asymmetry due to unilateral TMJ ankylosis ” description=”” read_more_text=”Read More” link=”” class=””][/vc_column_inner][vc_column_inner vertical_align=”top” animation_delay=”” width=”1/4″][vu_image_box image=”2711″ ratio=”2:1″ title=”Harvested costochondral graft” description=”” read_more_text=”Read More” link=”” class=””][/vc_column_inner][vc_column_inner vertical_align=”top” animation_delay=”” width=”1/4″][vu_image_box image=”2712″ ratio=”2:1″ title=”TMJ reconstruction surgery ” description=”” read_more_text=”Read More” link=”” class=””][/vc_column_inner][vc_column_inner vertical_align=”top” animation_delay=”” width=”1/4″][vu_image_box image=”2713″ ratio=”2:1″ title=”Face asymmetry corrected following surgery” description=”” read_more_text=”Read More” link=”” class=””][/vc_column_inner][/vc_row_inner][/vc_column][/vc_row][/vc_section]

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