Temporomandibular Joint Ankylosis as a Complication of Neonatal Septic Arthritis Report of two cases
Journal Title: Sultan Qaboos University Medical Journal - Year 2015, Vol 15, Issue 4
Abstract
Temporomandibular joint (TMJ) ankylosis as a complication of neonatal septic arthritis is rarely reported in the literature. We report two clinical cases of unilateral TMJ ankylosis occurring in paediatric patients subsequent to neonatal septic arthritis. Te frst case was a 15-month-old male infant who presented to the Sultan Qaboos University Hospital, Muscat, Oman, in May 2010. According to the published English scientifc literature, he is the youngest person yet to be diagnosed with this condition. Te second case was a fve-year-old female who presented to the Al-Nahda Hospital, Muscat, Oman, in October 2011. Both cases presented with facial asymmetry and trismus. Tey subsequently underwent gap arthroplasty and interpositional temporalis muscle and fascia grafts which resulted in an immediate improvement in mouth opening. Postoperatively, the patients underwent active jaw physiotherapy which was initially successful. Both patients were followed up for a minimum of two years following their surgeries.
Authors and Affiliations
Noor J. Al-Saadi| Oral & Maxillofacial Surgery Programme, Oman Medical Specialty Board, Muscat, Oman, Abdulaziz A. Bakathir| Department of Oral Health, Sultan Qaboos University Hospital, Muscat, Oman, Ahmed K. Al-Hashmi| Department of Oral & Maxillofacial Surgery, Al-Nahda Hospital, Muscat, Oman, Mohammad I. Al-Ismaili| Department of Oral & Maxillofacial Surgery, Al-Nahda Hospital, Muscat, Oman, Department of Oral & Maxillofacial Surgery, Oman Dental College, Muscat, Oman
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