Risk factors for intraoperative dislocation of the total temporomandibular joint replacement and its management

被引:11
作者
Mustafa, El Muiz [1 ]
Sidebottom, Andrew [1 ]
机构
[1] Nottingham Univ Hosp NHS Trust, QMC, Nottingham NG7 2UH, England
关键词
TMJ; Temporomandibular joint; Temporomandibular joint replacement; Temporomandibular prosthesis; Temporomandibular joint dislocation; RECONSTRUCTION;
D O I
10.1016/j.bjoms.2013.09.018
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Total replacement of the temporomandibular joint (TMJ) is an effective treatment for intractable pain and impaired function that is a consequence of end-stage joint disease. Prospective assessment of 138 joint replacements identified an 8% risk of intraoperative dislocation of the joint, which was associated primarily with coronoidectomy (30%) and inflammatory arthropathy (24%). Management included the use of intermaxillary elastic traction and treatment of masticatory dystonia when present. Of the 11 patients who had light elastic traction for one week, only one required further treatment for dislocation. Patients with no intraoperative dislocation did not require elastics, and joints remained stable postoperatively. (C) 2013 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:190 / 192
页数:3
相关论文
共 7 条
[1]  
[Anonymous], TMJ REPL PROD BROCH
[2]  
[Anonymous], PAT FITT TEMP JOINT
[3]   Temporomandibular joint reconstruction with total alloplastic joint replacement [J].
Jones, R. H. B. .
AUSTRALIAN DENTAL JOURNAL, 2011, 56 (01) :85-91
[4]  
National Institute for Health and Clinical Excellence, 2009, INTERVENTIONAL PROCE
[5]   Reconstruction of the temporomandibular joint autogenous compared with alloplastic [J].
Saeed, NR ;
Hensher, R ;
McLeod, NMH ;
Kent, JN .
BRITISH JOURNAL OF ORAL & MAXILLOFACIAL SURGERY, 2002, 40 (04) :296-299
[6]   Management of the temporomandibular joint in rheumatoid disorders [J].
Sidebottom, A. J. ;
Salha, R. .
BRITISH JOURNAL OF ORAL & MAXILLOFACIAL SURGERY, 2013, 51 (03) :191-198
[7]   Current status of replacement of the temporomandibular joint in the United Kingdom [J].
Speculand, Bernard .
BRITISH JOURNAL OF ORAL & MAXILLOFACIAL SURGERY, 2009, 47 (01) :37-41