• Ankylosis can ONLY be treated surgically.
• There is no form of pharmacological management.
• Type of surgery depends on age of the patient & extent of deformity.
• Treatment also varies if ankylosis is unilateral/bilateral.

SINGLE STAGE V/S 2-STAGE SURGICAL PROCEDURES:

• Surgery can be done in two stages.
• In the first operation, only a release of ankylosis is done.
• It is believed that growth takes place after release of ankylosis.
• Second stage procedure,an orthognathic surgery can be performed to restore esthetics.
• Some, however prefer to it as a single stage procedure,where release of ankylosis + esthetic correction is done in a single stage operation in adults.

SURGICAL PROCEDURES:

There are 3 types:

• Condylectomy.
• Gap Arthroplasty.
• Interpositional Arthroplasty.

TMJ APPROACHES:

1. CONDYLECTOMY:

• 

2. GAP ARTHROPLASTY:

• 

3. INTERPOSITIONAL ARTHROPLASTY:

KABAN’S PROTOCOL:

REFERENCES:

• Textbook of Oral & Maxillofacial Surgery, Chitra Chakravarthy (2nd Edition)
• interchopen.com
• researchgate.net