Endoscopically Assisted Transoral Gap Arthroplasty of the Temporomandibular Joint Ankylosis in a Pediatric Patient

Surgical management of temporomandibular joint (TMJ) ankylosis in children is often challenging and may result in various complications such as facial nerve injury and visible scar. In this clinical report, the authors present minimally invasive management of a 9-year-old boy with bilateral post-traumatic TMJ ankylosis. The ankylotic TMJs were addressed and gap arthoplasties were performed by endoscopically assisted transoral approach. The risk of facial nerve injury is minimized and facial scar was prevented by avoiding extraoral incision. Mandibular movements in 3 directions were satisfactory at 3rd postoperative month. Address correspondence and reprint requests to Özgür Erdogan, DDS, PhD, Department of Oral and Maxillofacial Surgery, Okan University, Gulbahar Mh. Oya Sokak 23/A 34394, Sisli, Istanbul, Turkey; E-mail: ozgerdogan@yahoo.com Received 5 December, 2017 Accepted 26 February, 2018 The authors report no conflicts of interest. © 2018 by Mutaz B. Habal, MD.

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