Alrhabi LM1,2* and Altawili ZM3
1Department of Otolaryngology Maxillofacial Surgery, General Military Hospital, Yemen
2Department of Otolaryngology Maxillofacial Surgery, Collage of Dentistry, Queen Arwa University, Yemen
3College of Dentistry, University of Science and Technology, Yemen
Objective: To report a case of a 7-year-old male with restricted mouth opening of sudden progression, and to discuss the diagnostic and therapeutic approach for this condition. Materials and Methods: An initial orthopantomogram radiograph showed no signs of Temporomandibular Joint (TMJ) problems. Physiotherapy was attempted, but did not improve the case, and mouth opening construction increased by the time. Three-dimensional computed tomography scans revealed a linear radiopaque region along the sphenomandibular ligament. The patient underwent intraoperative resection of the calcified ligament by osteotome and mallet. Results: The procedure resulted in an automatic improvement of the mouth opening. Conclusion: The case highlights the importance of careful radiological evaluation of the oral cavity and TMJ in patients with restricted mouth opening and presents a successful therapeutic approach to the condition.
Calcification; Limited mouth opening; Ossification; Sphenomandibular ligament;
Alrhabi LM, Altawili ZM. Rare Case of Limited Mouth Opening due to Sphenomandibular Ligament Calcification: Case Report and Literature Review. Am J Otolaryngol Head Neck Surg. 2023; 6(2):1228..