Eminectomy for the Management of Closed Lock of Temporomandibular Joint

Chakraborty, Saikat

doi:10.1016/s0377-1237(07)80031-1

Cited by 3 publications

(2 citation statements)

References 7 publications

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“…Intrinsic and extrinsic ligaments of the TMJ become stretched and unable to restrict anterior condylar excursion anymore 11. The rationale behind eminectomy is that if the articular eminence is resected, the condylar head can move freely in and out of the glenoid fossa without the risk of dislocation 19. Thus, it removes the mechanical obstacles in the condylar path 8.…”

Section: Discussionmentioning

confidence: 99%

“…11 The rationale behind eminectomy is that if the articular eminence is resected, the condylar head can move freely in and out of the glenoid fossa without the risk of dislocation. 19 Thus, it removes the mechanical obstacles in the condylar path. 8 In our patient, we have encountered problem while performing reduction due to the presence of thick fibrous tissue around TMJ capsule.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Delayed Management of Unrecognized Bilateral Temporomandibular Joint Dislocation: A Case Report

Chin

Berahim

Adnan

et al. 2018

Craniomaxillofacial Trauma & Reconstruction

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Temporomandibular joint (TMJ) dislocation is a common occurrence, but diagnosis can be missed if patients do not complain. Delayed presentation complicates the management of a straightforward reduction. We present a case of a 24-year-old man who had bilateral TMJ dislocation of unknown duration after motor vehicle accident. The accident left him bedridden with speech difficulty. He was totally dependent on Ryles' and percutaneous endoscopic gastrotomy tubes for feeding. Computed tomography revealed dislocation of condyles anterior to articular eminences. The bilateral TMJ dislocations were reduced surgically via bicoronal with preauricular extension approaches. However, the surgery was challenging due to tissue changes around the joint accompanied by masticatory muscles atrophy. Postoperatively, he was placed on intermaxillary fixation for 2 weeks followed by elastics training. Three months later, the patient's mastication returned completely to function. Delayed management of bilateral TMJ dislocation is undoubtedly challenging and somewhat frustrating; nevertheless, we manage to achieve satisfactory outcome in improving the patient's quality of life.

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Section: Discussionmentioning

confidence: 99%