Fortis Gurgaon surgeons repair fused jaw bones of a 21-year old

During the two earlier surgeries – doctors had tried to separate the jaw from the skull but his condition only marginally improved.

A 3D CT scan showed fusion of the lower jaw bone to the skull, leading to the diagnosis of Bilateral Temporo- Mandibular joint ankylosis.

At Fortis Memorial Research Institute, his treatment, under Dr Gagan Sabharwal, Consultant, Maxillofacial Surgeon at was planned in two stages - improve mouth opening and improve esthetic.

The surgical phase was divided into 3 parts. In the first part Inter-positional arthroplasty where a wide bony gap is created at the jaw joint region, with interpose local flap, followed by aggressive mouth opening exercise and physiotherapy was carried out.

“Post this surgery, Harman was able to open his mouth to as wide as 35 mm much to his and his family’s disbelief. His mother wept,” recalled Dr Sabharwal.

The second stage was carried out 6 months after the first surgery. This was the distractor placement and distraction phase - where the bone was divided at the mandibular angle region and gradually moved apart 1cm a day using a mandibular distraction device.

“We achieved 20 mm of bone distraction by the end of a month,” explained Dr Sabarwal.

In the third and last stage which followed four months after the second surgery – called the consolidation phase- the distractor was removed and an advancement genioplasty was done to achieve results.

“The total treatment time took one-and-a-half years from start to end and the patient visited the hospital thrice with and average hospital stay period 4 days each time and 1months in India" said Dr Sabarwal

Harman has returned to India for a medical follow up and a much improved health and overall well-being.