Tratamento cirúrgico de anquilose temporomandibular: relato de caso

Abstract

The temporomandibular joint (TMJ) is a complex structure of dense and specialized fibrous connective tissue, susceptible to several pathologies such as ankylosis, a degenerative joint disease, of multifactorial etiology, which causes mouth opening limitation, in addition to altering aesthetics and function masticatory, negatively influencing the patient's quality of life. TMJ ankylosis can be classified according to the degree of involvement of the structures, tissues involved and their location. The diagnosis is made by anamnesis and clinical examination, and the diagnosis is made through imaging tests such as radiographs and computed tomography (CT). The main treatment is surgery through the removal of ankylotic mass, interpositional arthroplasty, coronoidectomy or even osteogenic distraction and aims to restore function, occlusal and joint stability. Objective: To report, through a clinical case, the surgical treatment of a right unilateral temporomandibular ankylosis in a 20-year-old youth. Methodology:

Exploratory and qualitative research with description of the pre-surgical, surgical and post- surgical stages. Discussion of results: Ankylosis has a predilection for females, affecting any

age group, with the surgical procedure being its main form of treatment. Conclusions: The excision of the ankylated mass with rotation of the temporal muscle to the region of the articular disc, results in the success of the case, returning function and quality of life to the patient. The patient is being followed up by the maxillofacial surgery and traumatology team to date.