Rehabilitation of long standing ankylosis of temporo-mandibular joint in a 65 year old lady: A management quandary
Abstract
Temporomandibular joint ankylosis commonly occurs as a result of trauma to the face resulting in fusion of the temporal bone to condyle of the mandible .Immediate and appropriate care of facial fractures can minimise the risk of development of ankylosis. We report a case of TMJ ankylosis in a 65 year old lady with complaint of inability to open the mouth since 44 years . The lack of appropriate treatment at the time of trauma led to TMJ ankylosis and its sequale for 44 years. The ankylosis was surgically managed followed by aggressive physiotherapy. Surgeries in geriatric patient need to outweigh benefit over risk. The article describes challenges posed in rehabilitation of this patient.
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References
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