LAUSR

&NA; Temporomandibular joint ankylosis manifests a range of clinical characteristics dependent upon the age of onset, the affected side, and the severity. When it occurs during development, mandibular growth is affected, resulting in severe retrusion or asymmetry as well as limitation of mandibular movements. Progressive asymmetric mandibular growth in unilateral ankylosis causes canting of the occlusal plane. In this case report, we present a successful temporomandibular joint reconstruction using transport distraction osteogenesis combined with camouflage orthodontic treatment for occlusal canting correction of a patient with unilateral temporomandibular joint ankylosis and severe facial asymmetry. HighlightsUnilateral TMJ ankylosis during growth results in functional and esthetic problems.Balance and timing between surgery and camouflage are important.Gap arthroplasty and active physiotherapy are crucial for functional TMJ restoration.Transport distraction osteogenesis is a choice to reconstruct the TMJ and correct asymmetry.Maxillary canting was corrected with skeletal anchorage without additional surgeries.