Author(s)

Risimati Ephraim Rikhotso, Mohammed Bobat

Department of Maxillofacial and Oral Surgery, University of the Witwatersrand, Johannesburg, South Africa.

We report on a case of TMJ reankylosis (heterotopic bone) following total TMJ alloplastic reconstruction in a 40-year-old Black male. The heterotopic bone was excised following removal of the fossa component. The fossa component was re-inserted, and the periarticular tissue was grafted with fat procured from the abdomen. Patient was placed on an aggressive physiotherapy programme which was monitored for a period of 6 months. He returned for review one year later with a mouth opening of 27 mm. We present also a short review of the literature on heterotopic bone formation. This case is of particular interest in that despite the heterotopic bone around it; the prosthesis was preserved after the bone was removed.

TMJ Reankylosis, Heterotopic Bone, Alloplasts, Fat Graft

Rikhotso, R. and Bobat, M. (2018) Treatment of Temporomandibular Joint (TMJ) Reankylosis with Preservation of the TMJ Prosthesis and Use of Fat Graft: A Case Report and Review of the Literature. Open Journal of Stomatology, 8, 71-80. doi: 10.4236/ojst.2018.83006.