{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T23:15:15Z","timestamp":1778886915481,"version":"3.51.4"},"reference-count":18,"publisher":"BMJ","issue":"9","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,8,27]]},"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:p>Ankylosis of the temporomandibular joint is a debilitating condition resulting in progressive trismus and facial disfigurement. Common trigger factors include paediatric mandibular trauma, middle ear infection or traumatic childbirth. Although diminishing in incidence among urban population, it is still prevalent in the underprivileged world. Substandard child safety norms, delayed presentation, lack of access to specialties like maxillofacial surgery in rural areas and absence of follow-up contribute to ankylosis. Afflictions in ankylosis are multipronged, involving aesthetic, functional, psychological and nutritional implications to name a few. The damage this pathology causes to the young mind and their morale is humongous. Although well documented, a complete presentation of cases with follow-up till oral and myofascial rehabilitation is seldom reported. This paper describes multidisciplinary management of a young female patient with temporomandibular joint ankylosis. Staged management commencing from interpositional arthroplasty until dental restoration with a 2-year follow-up is presented in this paper.<\/jats:p>","DOI":"10.1136\/bcr-2021-245120","type":"journal-article","created":{"date-parts":[[2021,9,16]],"date-time":"2021-09-16T12:47:50Z","timestamp":1631796470000},"page":"e245120","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Multidisciplinary management of temporomandibular joint ankylosis in an adult: journey from arthroplasty to oral rehabilitation"],"prefix":"10.1136","volume":"14","author":[{"given":"Kamlesh","family":"Kothari","sequence":"first","affiliation":[{"name":"Oral & Maxillofacial Surgery, Aesthetica, Kolkatta, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7636-4247","authenticated-orcid":false,"given":"Naveenkumar","family":"Jayakumar","sequence":"additional","affiliation":[{"name":"Head - Oral and Maxillofacial Surgery, Sri Ramachandra Institute of Higher Education and Research, Chennai, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aayesha","family":"Razzaque","sequence":"additional","affiliation":[{"name":"Oral & Maxillofacial Surgery, Aesthetica, Kolkatta, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,9,16]]},"reference":[{"key":"2025082623390838000_14.9.e245120.1","doi-asserted-by":"crossref","first-page":"154","DOI":"10.4103\/njms.NJMS_91_18","article-title":"Pathogenesis of temporomandibular joint Ankylosis: a perspective","volume":"11","author":"Bhatt","year":"2020","journal-title":"Natl J Maxillofac Surg"},{"key":"2025082623390838000_14.9.e245120.2","doi-asserted-by":"crossref","first-page":"1966","DOI":"10.1016\/j.joms.2009.03.071","article-title":"A protocol for management of temporomandibular joint ankylosis in children","volume":"67","author":"Kaban","year":"2009","journal-title":"J Oral Maxillofac Surg"},{"key":"2025082623390838000_14.9.e245120.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2009.10.014"},{"key":"2025082623390838000_14.9.e245120.4","unstructured":"Peden MM , UNICEF WHO , eds. World report on child injury prevention. Geneva, Switzerland\u202f: [New York, NY]: World Health Organization; UNICEF, 2008."},{"key":"2025082623390838000_14.9.e245120.5","doi-asserted-by":"crossref","first-page":"1495","DOI":"10.1016\/j.ijom.2012.06.012","article-title":"New protocol to prevent TMJ reankylosis and potentially life threatening complications in triad patients","volume":"41","author":"Andrade","year":"2012","journal-title":"Int J Oral Maxillofac Surg"},{"key":"2025082623390838000_14.9.e245120.6","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1016\/S1010-5182(97)80001-7","article-title":"Management of unilateral temporomandibular ankylosis associated with facial asymmetry","volume":"25","author":"el-Sheikh","year":"1997","journal-title":"J Craniomaxillofac Surg"},{"key":"2025082623390838000_14.9.e245120.7","unstructured":"Seo BY , Eo MY , Park MW . Gap arthroplasty with active mouth opening exercises using an interocclusal splint in temporomandibular joint ankylosis patients | Maxillofacial Plastic and Reconstructive Surgery | Full Text [Internet], 2019. 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