Abstract:Temporomandibular joint(TMJ)ankylosis with secondary dentofacial deformities in adult patients is a severely disfiguring condition and surgical treatment for this disease remains a great clinical challenge. Treatment goals are to restore the joint function,to improve facial appearances and to correct malocclusion,as well as to re-establish harmony among them. Currently,various surgical techniques,such as arthroplasty with or without interpositional material,orthognathic surgery,distraction osteogenesis,autologous bone or bone replacement materials graft and plastic surgery,have been described in the literature. In most cases these techniques should be used in combination to achieve satisfactory outcomes.