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Int J Surg Case Rep. 2015;12:11-4. doi: 10.1016/j.ijscr.2015.05.013. Epub 2015 May 07.

An interesting radiological picture of post traumatic TMJ ankylosis due to sagittal condylar fracture.

International journal of surgery case reports

Surej Kumar L K, Suvy Manuel, Nikhil M Kurien, Sherin A Khalam, Varun P Menon

Affiliations

  1. PMS College of Dental Science & Research, Trivandrum, India.
  2. PMS College of Dental Science & Research, Trivandrum, India. Electronic address: [email protected].

PMID: 25985295 PMCID: PMC4486098 DOI: 10.1016/j.ijscr.2015.05.013

Abstract

INTRODUCTION: In a condylar fracture whether to intervene or to go for conservative management still remains a dilemma. Studies and hypothesis suggests that it's medially dislocated condylar fracture segment that is more likely to ankylose, moreover no consensus have been put forth as to whether to remove the medially displaced fracture segment.

PRESENTATION OF CASE: The current article describes a case of unilateral temporomandibular joint (TMJ) ankylosis, which resulted as a sequlae from conservative management of a bilateral condylar fracture of which, the ankylosed side had a sagittal fracture of condyle. In our case the post trauma CT shows the lateral segment abutting with the arch and that the area has become ankylotic in a span of 2 years. Here we report a case of posttraumatic unilateral TMJ ankylosis resulting from closed reduction of a bilateral condylar fracture with interesting radiological findings.

DISCUSSION: We have tried to discuss a rather interesting radiological picture of posttraumatic TMJ ankylosis which resulted as a sequlae from conservative management of a bilateral condylar fracture.

CONCLUSION: The dilemma for a clinician as to whether to intervene in a condylar fracture or to go for conservative management still remains at large. As in this case the medial fracture segment was intact and the lateral segment was resulting in ankylosis.

Copyright © 2015. Published by Elsevier Ltd.

Keywords: Ankylosis; Interesting case; Radiologic features; TMJ

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