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TMJ disorders: surgical management, ankylosis

Oral and Maxillofacial Surgery · Dental (BDS)

Study notes

A child post-trauma can open only 5 mm and X-ray shows condylar fusion. Why is surgery plus physiotherapy the answer? Ankylosis - the joint has fused into bone; no splint or medicine can un-fuse it. Gap arthroplasty removes the bony block, but without aggressive post-operative opening exercises, it re-fuses. Students learn ankylosis as surgery-plus-rehabilitation: the operation opens the mouth, physiotherapy keeps it open.

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