Inverted L-shaped ramus osteotomy for prolonged bilateral dislocation of the temporomandibular joint

Adekeye, E.O.; Shamia, R. I.; Cove, P.

doi:10.1016/0030-4220(76)90308-x

Cited by 66 publications

(53 citation statements)

References 6 publications

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“…These include eminectomy, lateral pterygoid myotomy, temporal muscle myotomy, condylotomy, condylectomy, reduction with the aid of interosseous wire (placed at the bilateral mandibular angles), midline mandibulatomy, inverted L-shaped ramus osteotomy, sagittal split ramus osteotomy, use of a ramus hook and stripper, reduction by modified intermaxillary fixation and endoscope-assisted reduction. [3][4][5][6][7][8][9][10]14,[16][17][18][19] Cardoso et al compared eminectomy and use of a bone miniplate in the articular eminence for the treatment of recurrent TMJ dislocation, and concluded that both techniques were effective in the treatment of recurrent dislocation of the TMJ although eminectomy proved to be more effective in terms of reducing TMJ noise and articular pain. 20 Huang et al recommend that the treatment method be selected based on the duration of the dislocation.…”

Section: Discussionmentioning

confidence: 99%

“…[3][4][5][6][7][8][9][10] Some authors have noted that the nature of the dislocated condyle is not always obvious to the patient. [6][7][8]11 Although diagnosis of TMJ dislocation is easy (because it occurs suddenly and the patient is locked in a wide-open mouth position), inexperienced physicians may misdiagnose the condition, leading to treatment failure. Some cases remain undiagnosed and untreated for many months especially in intensive care units.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Long-Term Temporomandibular Joint Dislocation Treated with Bilateral Eminectomy and Chin-Cap: Case Report

Güngörmüş¹,

Yavuz²,

Ömezli³

et al. 2016

Turkiye Klinikleri J Dental Sci Cases

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emporomandibular joint (TMJ) dislocation is defined as a nonreducing displacement of the mandibular condyle anterior and superior to the articular eminence, resulting in the inability to close the mouth. K Ke ey y W Wo or rd ds s: : Temporomandibular joint; temporomandibular joint disorders; dislocations; therapy Ö ÖZ ZE ET T Temporomandibular eklem (TME) dislokasyonu, kondilin aşırı öne hareketi sonucu artikü-ler eminensi geçerek, eklemin açık pozisyonda sabitlendiği ve herhangi bir translasyon hareketine imkan vermeyen pozisyonda kalması olarak tanımlanmaktadır. TME'nin akut dislokasyonu lokal anestezi, intravenöz sedasyon veya genel anestezi desteğinde manuel redüksiyonla düzeltilebilir. Dislokasyonın uzadığı veya kalıcı hale geldiği durumlarda sıklıkla cerrahi tedaviye ihtiyaç duyulmaktadır. Uzamış eklem dislokasyonu vakalarının tedavisinde çok çeşitli cerrahi yöntemler öne-rilmiştir. Bunlardan bir kısmı; modifiye intermaksiller fiksasyon, telle angulustan mandibulayı çekerek redükte etmek, miyotomi ve eminektomi gibi nispeten daha konservatif yaklaşımlar iken, bir kısmı da kondilektomi, mandibular orta hat osteotomisi, ters L ramus osteotomisi ve sagittal split ramus osteotomisi gibi daha radikal işlemlerdir. Bu olgu raporunda, hatalı teşhis nedeniyle uzun süreli ve kalıcı hale gelmiş çift taraflı TME dislokasyonu hastamızın klinik ve radyolojik bulguları ile başarısız konservatif yaklaşımlar nedeniyle bilateral eminektomi ile kondiler redüksiyo-nun yapıldığı ve chin-cap ile desteklendiği kapsamlı tedavisi sunulmuştur.A An na ah h t ta ar r K Ke e l li i m me e l le er r: : Temporomandibuler eklem; temporomandibuler eklem bozuklukları; çıkıklar; tedavi T Tu ur rk ki iy ye e K Kl li in ni ik kl le er ri i J J D De en nt ta al l S Sc ci i C Ca as se es s 2 20 01 16 6; ;2 2( (2 2) ): :7 75 5--9 9

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Long-Term Temporomandibular Joint Dislocation Treated with Bilateral Eminectomy and Chin-Cap: Case Report

Güngörmüş¹,

Yavuz²,

Ömezli³

et al. 2016

Turkiye Klinikleri J Dental Sci Cases

View full text Add to dashboard Cite

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“…Manual reduction with or without anaesthesia/ analgesia is preferred for acute dislocation [9,10,11] .…”

Section: IIImentioning

confidence: 99%

Long Standing Temporomandibular Joint Dislocation: A Case Report

Saikia¹

2014

IOSRJDMS

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“…The various methods of managing the chronic protracted TMJ dislocation that have been employed in the past include manual reduction under general anesthesia, external elastic traction with arch bars and elastic bands; assisted open reduction with Bristow's elevator [18]; Condylectomy [19], Condylotomy, Eminectomy, Verticaloblique [20] or inverted L ramus osteotomy, sagittal split osteotomy [21] and midline Mandibulotomy [22].…”

Section: Introductionmentioning

confidence: 99%

A Conservative Surgical Approach in the Management of Longstanding Chronic Protracted Temporomandibular Joint Dislocation: A Case Report and Review of Literature

Jeyaraj

Chakranarayan²

2016

J. Maxillofac. Oral Surg.

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Chronic protracted dislocation of the TMJ is a relatively uncommon but extremely unpleasant and distressing condition for a patient. It is also particularly challenging and difficult to treat as it worsens with time due to continuing spasm of the masticatory muscles and progressive fibrosis, adhesions and consolidation in and around the dislocated joint. No definite guidelines or treatment protocols have been laid down in literature till date, towards management of such dislocations. A range of extensive and invasive surgical procedures such as eminectomy, condylectomy, menisectomy, and various osteotomies of the mandibular ramus and body have been performed to reduce these dislocations. A chronic longstanding unilateral TMJ dislocation in a 64-year-old woman was managed successfully and effectively using a modified, rather conservative surgical technique. The aim was to reduce the dislocated condyle (without excessive manipulation of the intra-articular space or extra-articular joint components); and at the same time, to limit further excessive translation of the condyle and restore physiological TMJ biomechanical constraints, to prevent future recurrence. This was achieved by surgically exposing the dislocated joint and manipulating the anterosuperiorly positioned condyle back into the glenoid fossa, aided by a downward distraction of the mandible; followed by soft tissue tethering of the meniscus and fibrous capsule of the joint to the temporal fascia above. The procedure yielded excellent results without any functional limitations or recurrence, and can hence constitute a viable and effective treatment option which can be attempted prior to resorting to the more invasive surgical procedures as described in literature.

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Inverted L-shaped ramus osteotomy for prolonged bilateral dislocation of the temporomandibular joint

Cited by 66 publications

References 6 publications

Long-Term Temporomandibular Joint Dislocation Treated with Bilateral Eminectomy and Chin-Cap: Case Report

Long-Term Temporomandibular Joint Dislocation Treated with Bilateral Eminectomy and Chin-Cap: Case Report

Long Standing Temporomandibular Joint Dislocation: A Case Report

A Conservative Surgical Approach in the Management of Longstanding Chronic Protracted Temporomandibular Joint Dislocation: A Case Report and Review of Literature

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