case_images: PMC4979329_01
case_images: Preoperative mouth opening
case_images: AMS-6-130-g001.jpg
case_images: PMC4979329_01_AMS-6-130-g001.jpg
case_images: F1
case_images: TMJ but with no movement at all in the left TMJ. The mouth opening (interincisal distance) was 1 mm [Figure 1].
case_images: (a) Posteroanterior view scout computed tomography showing enlarged diploe. (b) Three-dimensional computed tomography showing bony fusion of left temporomandibular joint. (c) Axial computed tomography section showing enlarged left condyle
case_images: AMS-6-130-g002.jpg
case_images: PMC4979329_01_AMS-6-130-g002.jpg
case_images: F2
case_images: The scout cranial computed tomography (CT) showed an enlarged diploe [Figure 2a] confirming the characteristic radiographic evidence of sickle-cell and CT scan with three-dimensional reconstruction revealed complete fusion of the left condyle to the temporal bone with enlargement into the sigmoid notch [Figure 2b]. The axial CT shows an enlarged left condyle [Figure 2c].
case_images: (a) Postrami surgical incision. (b) Gap arthroplasty of about 1 cm. (c) Interposition of masseter muscle
case_images: AMS-6-130-g003.jpg
case_images: PMC4979329_01_AMS-6-130-g003.jpg
case_images: F3
case_images: She had left TMJ ankylosis release via a postrami incision [Figure 3a] by gap arthroplasty of 1 cm [Figure 3b]. The gap was then interposed with a strip of the masseter muscle [Figure 3c].
case_images: Postoperative mouth opening
case_images: AMS-6-130-g004.jpg
case_images: PMC4979329_01_AMS-6-130-g004.jpg
case_images: F4
case_images: At the 7 months review, mouth opening was 3.5 cm [Figure 4] and the patient was satisfied.
case_images: Postoperative scar
case_images: AMS-6-130-g005.jpg
case_images: PMC4979329_01_AMS-6-130-g005.jpg
case_images: F5
case_images: Postoperative scar was minimal both from previous and recent surgeries [Figure 5].