Bilateral Temporomandibular Joint Ankylosis Caused by Rheumatoid Arthritis: A Case Report

Authors

  • O. O. Adeosun Department of Dental and Maxillofacial Surgery,, Federal Medical Centre,Lokoja, Nigeria
  • O. James Department of Oral and Maxillofacial Surgery, College of Medicine, Lagos University Teaching Hospital, Lagos, Nigeria.
  • S. A. Ogah Otolaryngology Division, Department of Surgery, Federal Medical Centre,Lokoja, Nigeria

Keywords:

Key Words-TMJ ankylosis, Rheumatoid arthritis, Condylectomy

Abstract

Background: We present a case of bilateral Temporomandibular joint (TMJ) ankylosis due to Rheumatoid arthritis (RA), the first case in our centre and indeed in Nigeria to the best our knowledge. The ankylosis was successfully released by bilateral condylectomy.

Methodology: The case records of a 60 year old woman with an inability to open the mouth over a period of 13 years following a previously rheumatoid arthritis of peripheral joints was reviewed. The details of clinical and radiological findings were recorded in addition to the definitive management.

Result: Bilateral condylectomy was performed and the ankylosis   released. Vigorous jaw exercised was commenced on her and she had an uneventful post operative stay. She was discharged home with moderate mouth opening. Early mobilization and aggressive physiotherapy was instituted in order to prevent re-ankylosis. She had not experienced relapsed since a year after the procedure.

Conclusion: A rare case of bilateral TMJ ankylosis resulting from long standing RA hereby presented, this case was successfully managed by bilateral condylectomy. It is, of paramount importance, that dental health care providers have a proper knowledge of systemic diseases affecting the function of orofacial structures

Key Words-TMJ ankylosis, Rheumatoid arthritis, Condylectomy

Author Biographies

O. O. Adeosun, Department of Dental and Maxillofacial Surgery,, Federal Medical Centre,Lokoja, Nigeria

Consultant Maxillofacial Surgeon

Department of Dental and Maxillofacial Surgery,, Federal Medical Centre,Lokoja, Nigeria

O. James, Department of Oral and Maxillofacial Surgery, College of Medicine, Lagos University Teaching Hospital, Lagos, Nigeria.

Consultant Maxillofacial Surgeon

Department of Oral and Maxillofacial Surgery, College of Medicine, Lagos University Teaching Hospital, Lagos, Nigeria.

S. A. Ogah, Otolaryngology Division, Department of Surgery, Federal Medical Centre,Lokoja, Nigeria

Consultant Otolaryngologist, Head and Neck Surgeon
Department of Surgery, Federal Medical Centre,Lokoja, Nigeria

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Published

2015-10-24

How to Cite

Adeosun, O. O., James, O., & Ogah, S. A. (2015). Bilateral Temporomandibular Joint Ankylosis Caused by Rheumatoid Arthritis: A Case Report. Asian Journal of Pharmacy, Nursing and Medical Sciences, 3(4). Retrieved from https://www.ajouronline.com/index.php/AJPNMS/article/view/3193