Intraoral high condylotomy for a case of chronic mandibular dislocation

Long-Term Follow-Up following Condylotomy in a Case of Traumatic Unilateral Anterosuperior Mandibular Condyle Dislocation

“…While this shows acceptable outcome, a long-term effect of a unilateral shortening of the ramus height is still not clear. Previous reported case of condylotomy for anteriorly displaced condyles also reported similar favorable outcome [13, 20].…”

“…There is also a possibility of a mechanical obstruction with the condyle under the zygomatic arch. Hence, an invasive procedure was eventually needed involving condylotomy and coronoidectomy on the left side as described by Pappachan et al [13].…”

“…Several surgical modalities have been reported in the management of difficult cases of TMJ dislocation. These include direct reduction via preauricular incision [2], condylectomy [15], condylotomy [13], inverted L-shaped ramus osteotomy [16], bilateral vertical-oblique osteotomy of ramus [17], and midline mandibulotomy [7]. In the reported case, after conservative attempts and using of the right parasymphysis fracture to simulate midline mandibulotomy reduction failed, we proceed to perform condylotomy.…”