PMC6018265_01
Preoperative view of the limited mouth opening
AMS-8-162-g001.jpg
PMC6018265_01_AMS-8-162-g001.jpg
F1
The chief complaint was a limitation of severe mouth opening [Figure 1]. The patient claimed that he had been operated before from both sides.
Preoperative panoramic view which shows the heterotopic bone mass on right temporomandibular joint and previous surgery area at the left temporomandibular joint
AMS-8-162-g002.jpg
PMC6018265_01_AMS-8-162-g002.jpg
F2
Panoramic radiograph also demonstrated the area of previous surgery on the left side [Figures 2 and 3].
Blue arrow shows the ankylotic mass at the axial view of the cone beam computerized tomography
AMS-8-162-g003.jpg
PMC6018265_01_AMS-8-162-g003.jpg
F3
Panoramic radiograph also demonstrated the area of previous surgery on the left side [Figures 2 and 3].
Preoperative model which shows the borders of the ankylosis at the right side of the temporomandibular joint
AMS-8-162-g004.jpg
PMC6018265_01_AMS-8-162-g004.jpg
F4
A preoperative model which was maintained from the CBCT of the patient was also used to observe properly the extension of the ankylotic mass [Figure 4].
The view of the dermis fat graft
AMS-8-162-g005.jpg
PMC6018265_01_AMS-8-162-g005.jpg
F5
The fat graft was trimmed, and the dermis with fat graft was passively inserted between the segments and secured with 3-0 vicryl [Figures 5 and 6].
(a) Intraoperative view of the ankylotic mass. (b) The view of the sutured fat graft
AMS-8-162-g006.jpg
PMC6018265_01_AMS-8-162-g006.jpg
F6
The fat graft was trimmed, and the dermis with fat graft was passively inserted between the segments and secured with 3-0 vicryl [Figures 5 and 6].
Postoperative mouth opening 1 year after surgery
AMS-8-162-g007.jpg
PMC6018265_01_AMS-8-162-g007.jpg
F7
Thirty-five millimeters of mouth opening was maintained at the end of the physiotherapy [Figure 7]. The follow-up of the patient was made also by the physiotherapist during 1 year after the operation.