case_images: PMC6018265_01
case_images: Preoperative view of the limited mouth opening
case_images: AMS-8-162-g001.jpg
case_images: PMC6018265_01_AMS-8-162-g001.jpg
case_images: F1
case_images: The chief complaint was a limitation of severe mouth opening [Figure 1]. The patient claimed that he had been operated before from both sides.
case_images: Preoperative panoramic view which shows the heterotopic bone mass on right temporomandibular joint and previous surgery area at the left temporomandibular joint
case_images: AMS-8-162-g002.jpg
case_images: PMC6018265_01_AMS-8-162-g002.jpg
case_images: F2
case_images: Panoramic radiograph also demonstrated the area of previous surgery on the left side [Figures 2 and 3].
case_images: Blue arrow shows the ankylotic mass at the axial view of the cone beam computerized tomography
case_images: AMS-8-162-g003.jpg
case_images: PMC6018265_01_AMS-8-162-g003.jpg
case_images: F3
case_images: Panoramic radiograph also demonstrated the area of previous surgery on the left side [Figures 2 and 3].
case_images: Preoperative model which shows the borders of the ankylosis at the right side of the temporomandibular joint
case_images: AMS-8-162-g004.jpg
case_images: PMC6018265_01_AMS-8-162-g004.jpg
case_images: F4
case_images: A preoperative model which was maintained from the CBCT of the patient was also used to observe properly the extension of the ankylotic mass [Figure 4].
case_images: The view of the dermis fat graft
case_images: AMS-8-162-g005.jpg
case_images: PMC6018265_01_AMS-8-162-g005.jpg
case_images: F5
case_images: The fat graft was trimmed, and the dermis with fat graft was passively inserted between the segments and secured with 3-0 vicryl [Figures 5 and 6].
case_images: (a) Intraoperative view of the ankylotic mass. (b) The view of the sutured fat graft
case_images: AMS-8-162-g006.jpg
case_images: PMC6018265_01_AMS-8-162-g006.jpg
case_images: F6
case_images: The fat graft was trimmed, and the dermis with fat graft was passively inserted between the segments and secured with 3-0 vicryl [Figures 5 and 6].
case_images: Postoperative mouth opening 1 year after surgery
case_images: AMS-8-162-g007.jpg
case_images: PMC6018265_01_AMS-8-162-g007.jpg
case_images: F7
case_images: Thirty-five millimeters of mouth opening was maintained at the end of the physiotherapy [Figure 7]. The follow-up of the patient was made also by the physiotherapist during 1 year after the operation.