PMC6661384_01
Clinical view of the child's retruded mandible.
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It was obviously that she has retruded mandible, small chin with inability to protrude the mandible (Fig. 1).
C.T. showing right and left side ankylosis.
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Excellent visualization of the ankylosed joint on both sides was clear and sustained bilateral complete bony ankylosis (Fig. 2).
Preauricular incision was made as described by Al-Kayat and Bramley.
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Exposure for the ankylosis after dissection.
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Ankylosed bony piece cutting.
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Osteotomy was made to remove about 2 cm (Fig. 5).
Temporalis muscle flap.
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A full thickness layer of temporalis muscle was harvested (Fig. 6) from the area posterior and superior to the ear.
Intraoperative mouth opening.
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Mouth opening at the time of surgery was 40 mm (Fig. 7).
Mouth opening follow up.
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Close follow up took place with serial mouth opening checkup (Fig. 8).