{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,15]],"date-time":"2026-08-15T01:27:08Z","timestamp":1786757228929,"version":"build-2736575974"},"reference-count":14,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2026,8,15]],"date-time":"2026-08-15T00:00:00Z","timestamp":1786752000000},"content-version":"vor","delay-in-days":14,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,8,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Temporomandibular joint (TMJ) ankylosis in growing patients may result in severe mandibular hypomobility, progressive dentofacial deformity and upper airway compromise. The selection of reconstructive treatment remains challenging because autologous reconstruction offers growth potential, whereas alloplastic replacement enables immediate mobilization and precise correction of complex deformities. We report the staged management of a 15-year-old female patient with bilateral destructive TMJ ankylosis, marked mandibular retrognathia and tracheostomy-dependent airway obstruction. Treatment consisted of Computer Aided Design\/Computer Aided Manufacturing (CAD\/CAM)-guided mandibular distraction followed by bilateral total alloplastic TMJ replacement (TMJ-TJR). Persistent aseptic soft-tissue swelling and confirmed chromium and nickel hypersensitivity required revision to all-titanium components 12\u00a0months later. After revision, the soft-tissue reaction resolved completely. At 12\u00a0months after completion of surgical treatment, mouth opening exceeded 3\u00a0cm, the patient was pain-free and facial aesthetics and subjective well-being had improved. This case illustrates the role of staged patient-specific alloplastic reconstruction in selected adolescent patients with advanced TMJ ankylosis.<\/jats:p>","DOI":"10.1093\/jscr\/rjag500","type":"journal-article","created":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T11:37:09Z","timestamp":1786448229000},"source":"Crossref","is-referenced-by-count":0,"title":["Total alloplastic temporomandibular joint replacement in an adolescent with bilateral ankylosis and revision to all-titanium components"],"prefix":"10.1093","volume":"2026","author":[{"given":"Daniel G E","family":"Thiem","sequence":"first","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Facial Plastic Surgery, University Medical Centre Mainz , Augustusplatz 2, 55131 Mainz ,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bilal","family":"Al-Nawas","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Facial Plastic Surgery, University Medical Centre Mainz , Augustusplatz 2, 55131 Mainz ,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1671-3764","authenticated-orcid":false,"given":"Peer W","family":"K\u00e4mmerer","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Facial Plastic Surgery, University Medical Centre Mainz , Augustusplatz 2, 55131 Mainz ,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,8,14]]},"reference":[{"key":"2026081420471064300_ref1","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1055\/s-0029-1224754","article-title":"Chirurgische Therapie der Kiefergelenksankylose","volume":"41","author":"Rasse","year":"2010","journal-title":"Informationen aus Orthodontie & Kieferorthop\u00e4die"},{"key":"2026081420471064300_ref2","doi-asserted-by":"crossref","first-page":"239","DOI":"10.5125\/jkaoms.2021.47.4.239","article-title":"Classification and surgical management of temporomandibular joint ankylosis: a review","volume":"47","author":"Upadya","year":"2021","journal-title":"J Korean Assoc Oral Maxillofac Surg"},{"key":"2026081420471064300_ref3","year":"2016"},{"key":"2026081420471064300_ref4","doi-asserted-by":"crossref","first-page":"311","DOI":"10.5664\/jcsm.10856","article-title":"Surgical correction of neonatal obstructive sleep apnea due to a temporomandibular joint ankylosis","volume":"20","author":"Pesis","year":"2024","journal-title":"J Clin Sleep Med"},{"key":"2026081420471064300_ref5","doi-asserted-by":"crossref","DOI":"10.1016\/j.ijscr.2024.110431","article-title":"Custom alloplastic bilateral TMJ reconstruction and distraction osteogenesis in a 6-year-old with OSA secondary to bilateral TMJ ankylosis. 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