English abstract
The surgical management of paediatric patients with temporomandibular joint (TMJ) ankylosis,
mandibular retrognathia and obstructive sleep apnoea (OSA) is challenging. We report a nine-year-old boy who
presented to the Department of Oral Health, Sultan Qaboos University Hospital, Muscat, Oman, in 2016 with
complaints of limited mouth opening, loud snoring and excessive daytime sleepiness. He was diagnosed with TMJ
ankylosis, mandibular retrognathia and severe OSA. The patient initially underwent mandibular distraction and,
subsequently, release of the TMJ ankylosis and rib graft reconstruction. The overall patient outcome was successful,
with improvement in OSA-related symptoms, good facial symmetry and adequate mouth opening.
