Surgical treatment for recurrent dislocation or chronic subluxation of the temporomandibular joint

Sanders, Bruce; Newman, Richard A.

doi:10.1016/s0300-9785(75)80023-8

Cited by 21 publications

(6 citation statements)

References 3 publications

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“…Surgical methods for inhibiting the condylar movement normally involve either hard or soft tissue procedures. Soft tissue procedures include detachment of the lateral pterygoid muscle from the condyle by capsulorrhaphy [43], menisectomy [7], capsular plication [12,27] and anchoring of the condyle at the zygomatic arch with fascia lata strips or Mersilene tapes (Ethicon, Johnson and Johnson Ltd., New Brunswick, New Jersey, USA) [30]. Hard tissue procedures can be divided into reductive and augmentative procedures of the articular eminence.…”

Section: Discussionmentioning

confidence: 99%

A new surgical technique for reduction of chronic recurrent luxation of the temporomandibular joint

Hunger

Krennmair

Postl

et al. 2022

Preprint

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Introduction: The variety of approaches to the mandibular joint and the multiplicity of different surgical techniques proposed for reducing a chronic recurrent luxation of the temporomandibular joint (TMJ) over the past decades show the complexity of the surgical approach and reveal that an adequate technique is still lacking. Therefore, this paper describes a different surgical approach for a new augmentation technique of the articular eminence by inserting titanium implants into the zygomatic arch root.Materials and Method: Eight cadavers of the Department of Anatomy of the Medical University Graz embalmed with Thiel’s method were chosen due to their hypermobility of the TMJ and were investigated bilaterally. Each cadaver underwent a preoperative computed tomography (CT) for excluding any morphological derangements (tumor masses; fractures) of the TMJ and for determining implant length and implant diameter. The zygomatic arch root was visualized via preauricular access and the planned implants were inserted according to the drilling protocol of Dentsply Sirona. A postoperative Ct-scan was taken to recognize injuries of the mandibular joint. Results: In all cases a significant (p<0.001) reduction of translational movement with an adequate mouth opening (postoperative/mean value 43.1mm/SD 3.5mm) was achieved. The postoperative CT-scan showed that none of the zygomatic arch roots fractured after treatment and none of the mandibular condyles were injured by an implant.Conclusion: The proposed surgical technique shows promising results regarding surgical approach and clinical outcome.

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Section: Discussionmentioning

confidence: 99%

A new surgical technique for reduction of chronic recurrent luxation of the temporomandibular joint

Hunger

Krennmair

Postl

et al. 2022

Preprint

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“…(35) In the context of chronic recurrent TMJ dislocation, there are many reports of the use of botulinum toxin type A, both as a primary therapy, and as an adjunct to other reductive techniques. (35)(36)(37)(38) It is often employed in patients who may not be candidates for surgery, based on age, medical comorbidities, and other factors. Most frequently, the targeted muscle is the lateral pterygoid, which is often implicated in myospasm associated with dislocation.…”

Section: Muscle Alterationmentioning

confidence: 99%

“…That being said, it may also be infiltrated into any of the masticatory musculature. (37) Computed tomography (CT) imaging can be completed preoperatively, so as to create accurate measurements from the skin surface to muscle belly. Fu and colleagues (35) described accessing the lateral pterygoid percutaneously through the sigmoid notch, inferior to the zygomatic arch.…”

Section: Muscle Alterationmentioning

confidence: 99%

Different modalities in management of temporomandibuolar joint dislocation

Saleh

Elsharrawy

Elsholkamy

et al. 2022

ijhs

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The pathophysiology of mandibular dislocation involves the combination of three factors: loosening of the capsule and the TMJ ligaments, a prominent eminence, and muscular spasm.Initially, loosening of the capsule and ligaments allows the condyle to perform non-physiological and excessive motions, bypassing the articular eminence. This condition can be seen during simple activities such as laughing and yawning, during long dental consultations, during orotracheal intubation, and in episodes of vomiting. The treatment of chronic symptomatic TMJ hypermobility may be organized into; bony alteration, alteration of associated musculature and alteration of the ligaments.

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“…In 1951, MYR-HAUG 83 described the eminectomy for the treatment of condylar dislocation that was adapted by IRBY 55 in 1957 for the treatment of painful TMJ dysfunction. Later procedures which evolved for the treatment of dislocation included capsulorrhaphies, lateral pterygoid myotomies and osteotomies of the zygomatic arch and eminence to limit the translation of the condyle 70,90,96,102 . Anterior synovial sulcus ablation using electrocautery and lasers via surgical arthroscopic techniques have been more recent developments in the management of recurrent TMJ dislocation and hypermobility 73,74 .…”

Section: The History Of Tmj Surgerymentioning

confidence: 99%

The role of surgery in the management of disorders of the Temporomandibular Joint: a critical review of the literature Part 1

Dimitroulis¹

2005

International Journal of Oral and Maxillofacial Surgery

107

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Surgical treatment for recurrent dislocation or chronic subluxation of the temporomandibular joint

Cited by 21 publications

References 3 publications

A new surgical technique for reduction of chronic recurrent luxation of the temporomandibular joint

A new surgical technique for reduction of chronic recurrent luxation of the temporomandibular joint

Different modalities in management of temporomandibuolar joint dislocation

The role of surgery in the management of disorders of the Temporomandibular Joint: a critical review of the literature Part 1

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