Recurrence of temporomandibular joint ankylosis: fascia lata a good alternative. A case report

Recurrence of temporomandibular joint (TMJ) ankylosis is a known complication. Studies have contributed to the various treatment options in recurrent ankylosis. The causes of reankylosis of TMJ, to our experience is due to inadequate gap arthroplasty, insufficient interpositional material, adhesion and elongation of the coronoid process. It has been reported in the literature that the incidence varies with choice of treatment modality, severity of ankylosis, site (unilateral/ bilateral), and the surgeons skill. The patient’s compliance to the post‑treatment physiotherapy is the main reason for reankylosis. Here, we present a case of left TMJ reankylosis in a 22‑year‑old female, previously treated by interpositional gap arthroplasty using temporalis muscle, and had developed recurrence after ∼ 1 year of treatment, then it was successfully treated with gap arthroplasty using fascia lata as interpositional material.