PDF(Pubmed)
Abstract：
Temporomandibular joint (TMJ) ankylosis is generally characterised by a complex aetiology, with several contributing causes, including infections, autoimmune diseases, trauma, and congenital anomalies. This case report describes a three-year-old female suffering from traumatic temporomandibular ankylosis with retrognathia, severe mouth-opening restriction, and obstructive sleep apnea (OSA). The present case highlights the difficulties with TMJ ankylosis, especially when access to healthcare is sought out late and delayed diagnosis is prevalent. Mandibular distraction osteogenesis and awake fiberoptic intubation were used in the surgical and anaesthetic management of this case, with the otorhinolaryngology team on standby to perform a tracheostomy if required, highlighting the necessity of a multidisciplinary approach in such cases. Patients with TMJ ankylosis have significant life-altering changes, including psychological stress, chewing difficulty, speech difficulties, facial distortion, and speech impediment. When OSA progresses, it also presents more health risks. For the purpose of treating TMJ ankylosis, avoiding serious problems, and enhancing patient well-being, prompt diagnosis and therapy are crucial. In order to optimise patient results, this case study highlights the need for knowledge and research in the treatment of TMJ ankylosis as well as the requirement of medical professionals working together in a synergistic way.
摘要：
颞下颌关节（TMJ）强直的特征通常是复杂的病因，有几个原因，包括感染,自身免疫性疾病，创伤,和先天性异常。该病例报告描述了一名三岁的女性，患有创伤性颞下颌关节强直并伴有下颌后移，严重的张口限制，阻塞性睡眠呼吸暂停（OSA）。本案突出了TMJ强直的困难，尤其是当寻求医疗保健的时间较晚并且诊断延迟很普遍时。下颌骨牵张成骨和清醒的光纤插管用于这种情况的手术和麻醉管理，如果需要，耳鼻咽喉科团队待命进行气管切开术，强调在这种情况下采取多学科方法的必要性。TMJ强直患者有显著的改变生活的变化，包括心理压力,咀嚼困难，言语困难,面部变形，言语障碍。当OSA进展时，它也带来了更多的健康风险。为了治疗颞下颌关节强直，避免严重的问题，提高病人的幸福感，及时的诊断和治疗至关重要。为了优化患者结果，本案例研究强调了对TMJ强直治疗的知识和研究的需求，以及医疗专业人员以协同方式合作的需求。
