A Triad of Temporomandibular Joint Ankylosis, Mandibular Retrognathia and Severe Obstructive Sleep Apnoea: Case report
The surgical management of paediatric patients with temporomandibular joint (TMJ) ankylosis, mandibular retrognathia and obstructive sleep apnoea (OSA) is challenging. We report a nine-year-old boy who presented to the Department of Oral Health, Sultan Qaboos University Hospital, Muscat, Oman, in 20...
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doaj-3cfa3bb880994beb84755f9cbf2844bb2020-11-25T03:25:49ZengSultan Qaboos UniversitySultan Qaboos University Medical Journal 2075-051X2075-05282018-12-0118337938210.18295/squmj.2018.18.03.0192468A Triad of Temporomandibular Joint Ankylosis, Mandibular Retrognathia and Severe Obstructive Sleep Apnoea: Case reportIssa K. Al-Nuumani0Abdulaziz Bakathir1Ahmed Al-Hashmi2Mohammed Al-Abri3Hussein Al-Kindi4Intisar Al-Macki5Zainab Al-Balushi6Oral & Maxillofacial Surgery Residency Programme, Oman Medical Specialty Board, Muscat, OmanDepartment of Dental & Maxillofacial Surgery, Sultan Qaboos University Hospital, Muscat, OmanDepartment of Dental, Oral & Maxillofacial Surgery, Al Nahdha Hospital, Muscat, OmanDepartment of Clinical Physiology, Sultan Qaboos University Hospital, Muscat, OmanDepartment of Child Health, Sultan Qaboos University Hospital, Muscat, OmanDepartment of Anaesthesia, Sultan Qaboos University Hospital, Muscat, OmanDepartment of Surgery, Sultan Qaboos University Hospital, Muscat, OmanThe surgical management of paediatric patients with temporomandibular joint (TMJ) ankylosis, mandibular retrognathia and obstructive sleep apnoea (OSA) is challenging. We report a nine-year-old boy who presented to the Department of Oral Health, Sultan Qaboos University Hospital, Muscat, Oman, in 2016 with complaints of limited mouth opening, loud snoring and excessive daytime sleepiness. He was diagnosed with TMJ ankylosis, mandibular retrognathia and severe OSA. The patient initially underwent mandibular distraction and, subsequently, release of the TMJ ankylosis and rib graft reconstruction. The overall patient outcome was successful, with improvement in OSA-related symptoms, good facial symmetry and adequate mouth opening. Keywords: Temporomandibular Joint Disorders; Temporomandibular Ankylosis; Retrognathia; Obstructive Sleep Apnea; Case Report; Oman.https://journals.squ.edu.om/index.php/squmj/article/view/2863 |
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DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Issa K. Al-Nuumani Abdulaziz Bakathir Ahmed Al-Hashmi Mohammed Al-Abri Hussein Al-Kindi Intisar Al-Macki Zainab Al-Balushi |
spellingShingle |
Issa K. Al-Nuumani Abdulaziz Bakathir Ahmed Al-Hashmi Mohammed Al-Abri Hussein Al-Kindi Intisar Al-Macki Zainab Al-Balushi A Triad of Temporomandibular Joint Ankylosis, Mandibular Retrognathia and Severe Obstructive Sleep Apnoea: Case report Sultan Qaboos University Medical Journal |
author_facet |
Issa K. Al-Nuumani Abdulaziz Bakathir Ahmed Al-Hashmi Mohammed Al-Abri Hussein Al-Kindi Intisar Al-Macki Zainab Al-Balushi |
author_sort |
Issa K. Al-Nuumani |
title |
A Triad of Temporomandibular Joint Ankylosis, Mandibular Retrognathia and Severe Obstructive Sleep Apnoea: Case report |
title_short |
A Triad of Temporomandibular Joint Ankylosis, Mandibular Retrognathia and Severe Obstructive Sleep Apnoea: Case report |
title_full |
A Triad of Temporomandibular Joint Ankylosis, Mandibular Retrognathia and Severe Obstructive Sleep Apnoea: Case report |
title_fullStr |
A Triad of Temporomandibular Joint Ankylosis, Mandibular Retrognathia and Severe Obstructive Sleep Apnoea: Case report |
title_full_unstemmed |
A Triad of Temporomandibular Joint Ankylosis, Mandibular Retrognathia and Severe Obstructive Sleep Apnoea: Case report |
title_sort |
triad of temporomandibular joint ankylosis, mandibular retrognathia and severe obstructive sleep apnoea: case report |
publisher |
Sultan Qaboos University |
series |
Sultan Qaboos University Medical Journal |
issn |
2075-051X 2075-0528 |
publishDate |
2018-12-01 |
description |
The surgical management of paediatric patients with temporomandibular joint (TMJ) ankylosis, mandibular retrognathia and obstructive sleep apnoea (OSA) is challenging. We report a nine-year-old boy who presented to the Department of Oral Health, Sultan Qaboos University Hospital, Muscat, Oman, in 2016 with complaints of limited mouth opening, loud snoring and excessive daytime sleepiness. He was diagnosed with TMJ ankylosis, mandibular retrognathia and severe OSA. The patient initially underwent mandibular distraction and, subsequently, release of the TMJ ankylosis and rib graft reconstruction. The overall patient outcome was successful, with improvement in OSA-related symptoms, good facial symmetry and adequate mouth opening.
Keywords: Temporomandibular Joint Disorders; Temporomandibular Ankylosis; Retrognathia; Obstructive Sleep Apnea; Case Report; Oman. |
url |
https://journals.squ.edu.om/index.php/squmj/article/view/2863 |
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