case_images: PMC3304171_01
case_images: Preoperative photograph (complete adhesion of tongue to floor of the mouth and 1 cm mouth opening)
case_images: NJMS-1-86-g001.jpg
case_images: PMC3304171_01_NJMS-1-86-g001.jpg
case_images: F1
case_images: On examination, facial appearance was normal, but her mouth opening was reduced to 1 cm and tongue was totally fixed to the floor of the mouth [Figure 1].
case_images: Intraoperative photograph of skin graft placed at buccal mucosa after excision of fibrous bands
case_images: NJMS-1-86-g002.jpg
case_images: PMC3304171_01_NJMS-1-86-g002.jpg
case_images: F2
case_images: Split skin graft was taken from left thigh and was placed on the ventral surface of the tongue and on buccal mucosa bilaterally [Figures 2-4].
case_images: Intraoperative photograph of skin graft placed at ventral surface of the tongue after releasing tongue adhesion with the floor of the mouth
case_images: NJMS-1-86-g003.jpg
case_images: PMC3304171_01_NJMS-1-86-g003.jpg
case_images: F3
case_images: Split skin graft was taken from left thigh and was placed on the ventral surface of the tongue and on buccal mucosa bilaterally [Figures 2-4].
case_images: Postoperative photograph with improved mouth opening
case_images: NJMS-1-86-g004.jpg
case_images: PMC3304171_01_NJMS-1-86-g004.jpg
case_images: F4
case_images: Split skin graft was taken from left thigh and was placed on the ventral surface of the tongue and on buccal mucosa bilaterally [Figures 2-4].
case_images: PMC3304171_02
case_images: Preoperative photograph
case_images: NJMS-1-86-g005.jpg
case_images: PMC3304171_02_NJMS-1-86-g005.jpg
case_images: F5
case_images: On examination, the mouth opening was just 13 mm and posterior teeth were impinging on buccal mucosa [Figure 5].
case_images: Postoperative photograph
case_images: NJMS-1-86-g006.jpg
case_images: PMC3304171_02_NJMS-1-86-g006.jpg
case_images: F6
case_images: She underwent vigorous physiotherapy and had been advised to do so for a longer period of time [Figure 6].
case_images: PMC3304171_03
case_images: Preoperative photograph
case_images: NJMS-1-86-g007.jpg
case_images: PMC3304171_03_NJMS-1-86-g007.jpg
case_images: F7
case_images: A 45-year-old male patient of rural region reported to the Department of Oral and Maxillofacial Surgery with the complain of pain in lower back tooth since 1 month, which aggravated 10 days back with marked swelling at the angle of mandible and reduced mouth opening [Figure 7].
case_images: Intraoperative photograph
case_images: NJMS-1-86-g008.jpg
case_images: PMC3304171_03_NJMS-1-86-g008.jpg
case_images: F8
case_images: Extraoral incision was done [Figure 8] to drain the pus, then forceful mouth opening was done and carious exposed broken 3rd molar was extracted.
case_images: PMC3304171_04
case_images: Preoperative photograph
case_images: NJMS-1-86-g009.jpg
case_images: PMC3304171_04_NJMS-1-86-g009.jpg
case_images: F9
case_images: The patient had history of fall from roof 1 year back and gradually mouth opening was reduced to zero [Figure 9].
case_images: Postoperative photograph
case_images: NJMS-1-86-g010.jpg
case_images: PMC3304171_04_NJMS-1-86-g010.jpg
case_images: F10
case_images: Bilateral gap arthroplasty along with bilateral coronoidectomy was done and 45 mm mouth opening was achieved [Figure 10].
case_images: PMC3304171_05
case_images: Preoperative radiograph
case_images: NJMS-1-86-g011.jpg
case_images: PMC3304171_05_NJMS-1-86-g011.jpg
case_images: F11
case_images: Submentovertex view revealed V-shaped zygomatic arch fracture [Figure 11] and this causing hindrance in opening the mouth.
case_images: Postoperative radiograph
case_images: NJMS-1-86-g012.jpg
case_images: PMC3304171_05_NJMS-1-86-g012.jpg
case_images: F12
case_images: Gillie's temporal fossa approach was used to reduce the fracture [Figure 12].