The mandibular reconstruction is extremely important for the rehabilitation of the patient who underwent bone resection. The restoration of mandibular function and facial esthetics is essential to maintain the quality of life. The use of HBO in mandibular reconstruction is an important adjunct to successful treatment, however, more studies are needed to establish the best modalities of rehabilitation.
Temporomandibular joint (TMJ) ankylosis (TMJA) is an anatomic and functional alteration of the TMJ surfaces, caused by the fusion of these surfaces by either bone or fibrous tissue. Several techniques are used for the treatment of TMJA. The following case report describes a 5-year-old boy who was diagnosed with TMJA. The treatment of choice is reconstruction of the condyle by sliding the posterior border of the mandibular ramus. Temporomandibular joint ankylosis treatment with vertical ramus osteotomy and mandibular posterior border repositioning offers minimizing the reduction in height or shortening of the mandibular posterior border. The postoperative period requires a multidisciplinary approach with an aggressive physiotherapy.
INTRODUCTION: Extraction of third molars can rarely provoke post-operative complications, such as temporomandibular joint disorders (TMDs). OBJECTIVE: Although the literature presents a series of discussions of the clinical evidence related to this subject, in this report, we present an uncommon case of a patient submitted for the extraction of third molars who presented, in postoperative monitoring, with recurrent bilateral condylar luxation. CONCLUSION: Due to this critical condition, the patient was successfully treated by bilateral eminectomy.
a b s t r a c tFibrous dysplasia is characterized by excessive proliferation of bone-forming mesenchymal cells. The maxilla is the most commonly affected facial bone, with facial asymmetry being the usual complaint. Surgery is the treatment of choice with two available options: conservative bone shaving or radical excision and reconstruction. We describe two cases of monofocal fibrous dysplasia of the midface causing facial asymmetry and treated by conservative surgery with good esthetic results. Abordagem cirúrgica da displasia fibrosa do terço médio facial: Considerações estéticas e funcionais Palavras-chave: Estética Displasia fibrosa Osso r e s u m o A displasia fibrosa é caracterizada por uma proliferação excessiva células mesenquimais formadoras de osso. A maxila é o osso da face mais comumente afetado, sendo a assimetria facial o sinal mais comum. A cirurgia é o tratamento de escolha com duas opç ões possíveis: plastia óssea conservadora ou excisão radical seguida de reconstrução. Neste trabalho descrevemos dois casos de displasia fibrosa focal em terço médio da face, causando assimetria facial e tratada por cirurgia conservadora com bons resultados estéticos. 178 r e v p o r t e s t o m a t o l m e d d e n t c i r m a x i l o f a c . 2 0 1 4;5 5(3):177-181
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