case_images: PMC11340841_01
case_images: (a) Clinical aspect with severe reduction of mouth opening. (b) Stereolithographic model of the computed tomography in frontal view (c) Hypoplasia of the left condyle resulting in mandibular asymmetry (d) Right mandibular condyle
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case_images: Left mandibular hypoplasia, reduced sigmoid notch depth, mandibular body height and ankyloses of the left temporomandibular joint (TMJ) were found [Figure 1].
case_images: (a and b) Intraoperative views of the mandibular osteotomy and distractor placement. (c and d) Post-operative view of 3-dimensional computed tomography
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case_images: PMC11340841_01_AMS-14-85-g002.jpg
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case_images: Martin, Tuttlingen, Germany) applied to the posterior region of the body of the mandible, on the left side [Figure 2]. Mandibular osteotomy with piezosurgery was made between the portions of the device.
case_images: Second surgery to remove the ankylotic block of the right temporomandibular joint. (a and b) Surgical access and identification of the ankylotic block, (c) Removed bone block (d) Positioning of the amniotic membrane
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case_images: Finally, a skin scar revision was performed [Figure 3].
case_images: (a) Opening of the oral cavity 1 month after surgery, (b) Immediate post-operative stretching (c) Computed tomography scans in coronal view after the second surgical stage. (d) Good maintenance of the opening of the oral cavity 21/2 years after surgery
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case_images: After 21/2 years, the patient maintained a good maximal interincisal distance of 23 mm and had normal functionality [Figure 4].