2013
DOI: 10.5125/jkaoms.2013.39.5.238
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Reduction of superior-lateral intact mandibular condyle dislocation with bone traction hook

Abstract: Lateral and superior-lateral dislocations of the intact condyle are a rare complication, following traumatic insult to the mandible. We report an unusual case of a 54-year-old male patient who experienced both types of dislocations of the intact condyles with symphysis fracture following a road-traffic accident. Under general anesthesia, conventional manipulation was unsuccessful in relocating the condyles into the glenoid fossa. After applying a percutaneous traction force, using a bone traction hook placed a… Show more

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Cited by 10 publications
(9 citation statements)
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“…Non-surgical treatment in acute TMJ dislocation involves manual reduction using the Hippocratic, wrist pivot or extra oral techniques or a combination of these techniques 24 . Similarly, manual reduction in acute TMJ dislocation using a bone hook has been reported 32 . Manual reduction was successful in 13 (59.1%) of our patients, which was a higher success rate than the 27.6% 9 reported by another study.…”
Section: Discussionmentioning
confidence: 89%
“…Non-surgical treatment in acute TMJ dislocation involves manual reduction using the Hippocratic, wrist pivot or extra oral techniques or a combination of these techniques 24 . Similarly, manual reduction in acute TMJ dislocation using a bone hook has been reported 32 . Manual reduction was successful in 13 (59.1%) of our patients, which was a higher success rate than the 27.6% 9 reported by another study.…”
Section: Discussionmentioning
confidence: 89%
“…The repositioning of displaced intact mandibular condyles by application of a percutaneous traction force with a bone hook placed at sigmoid notch and the use of traction with the help of wires placed in holes drilled in the exposed angle region are also reported in literature .…”
Section: Discussionmentioning
confidence: 99%
“…Various techniques of reduction of bilateral superolaterally dislocated condyles have been described in literature such as Finck's technique in which traction wires are passed through the holes drilled in the mandibular angle region to facilitate the reduction of dislocated condyle into the glenoid fossa [10,16]. The other method of reduction is the application of bone hook placed at the sigmoid notch through a stab incision at the same level, followed by applying a outward traction to facilitate the reduction of condyle into glenoid fossa [17]. More recently, Temiz et al [14] introduced the Muselet technique as a useful intraoral method of reduction of laterally displaced condyle.…”
Section: Discussionmentioning
confidence: 99%