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Pre-operative Photographs.. A: Frontal Profile, B: Chest Radiograph, C,D: Skeletal Features, E: Full Body Photograph.
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Facial asymmetry was seen due to deviation of the chin to the left side (Fig. 1). Scoliosis and kyphosis were also noticed (Fig. 1).
Computed Tomographic Images.. A: Pre - op TMJ Ankylosis.. B: Post - op TMJ Ankylosis.. C: Pre - op Orthomorphic correction.
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On clinical and radiographic examination, unilateral temporomandibular joint ankylosis was diagnosed on the left side (Fig. 2).
Intra-Operative Images.. A: STL Model pre-orthomorphic surgery.. B: Intra Op Orthomorphic Surgery.. C: Intra Op Orthomorphic Surgery.
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Orthomorphic surgery was then performed to correct the facial deformity and also to correct obstructive sleep apnea which included advancement and sliding genioplasty (Fig. 3).
Post-Operative Images.. A: Lateral View.. B: Frontal View.. C: Mouth Opening photograph.
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Long term post-operative follow up for up to 3 years at every six months interval using berlin questionnaire ensured reduction of obstructive sleep apnea from high risk to a low-risk case (Fig. 4).