case_images: PMC3800373_01
case_images: (a and b): Scar in the center of cheek with restricted mouth opening and computed tomography showing bone involvement
case_images: NJMS-4-114-g001.jpg
case_images: PMC3800373_01_NJMS-4-114-g001.jpg
case_images: F1
case_images: On examination, a large cheek scar with loss of subcutaneous tissue severely restricted mouth opening (inter incisor distance < 3 mm) and maxillary hypertrophy in the infra orbital region were observed [Figure 1]. Post-operatively child was put on extensive physiotherapy using an acrylic dynamic jaw exerciser [Figure 4 and Video 1].
case_images: Restoration of mouth opening
case_images: NJMS-4-114-g002.jpg
case_images: PMC3800373_01_NJMS-4-114-g002.jpg
case_images: F2
case_images: Coronoidectomy was done to release the bony block between the infra orbital rim, zygomatic arch and the mandible with dramatic improvement in mouth opening [Figure 2].
case_images: Silicone sheet placed between bone segment
case_images: NJMS-4-114-g003.jpg
case_images: PMC3800373_01_NJMS-4-114-g003.jpg
case_images: F3
case_images: After complete transaction of the ankylotic bone, the gap was kept bare enough so as to pass 0.2 mm ultra-thin silicon sheet of size 5 x 5 cm [Figure 3].
case_images: Dynamic jaw exerciser in place
case_images: NJMS-4-114-g004.jpg
case_images: PMC3800373_01_NJMS-4-114-g004.jpg
case_images: F4
case_images: Post-operatively child was put on extensive physiotherapy using an acrylic dynamic jaw exerciser [Figure 4 and Video 1].