Treatment of chronic mandibular dislocations by bone plates: Two case reports

被引:13
作者
Bakardjiev, A [1 ]
机构
[1] Fac Dent, Dept Oral Surg, Plovdiv 4000, Bulgaria
关键词
D O I
10.1016/j.jcms.2003.09.010
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Background: Various surgical procedures have been used to limit mandibular opening in patients with recurrent dislocations of the temporomandibular joint (TMJ). These include intracapsular injection of sclerosing agents and tethering of the mandible. Other methods include obstruction of the condylar translation by downfracturing the zygomatic arch or by bone graft augmentation of the tuberculum and creating a mechanical impediment using Vitallium mesh or a stainless steel pin. Material: In this paper, two patients are described in whom the range of condylar movement was restricted by a bone plate attached to the lateral surface of the zygomatic arch. One arm of the plate was extended medially just below the articular eminence. One patient had a hypermobile joint in combination with mitral valve prolapse, and the other patient suffered mental retardation. The surgical technique is described in detail. Result: Six months postoperatively, TMJ function was unimpeded and there was no recurrence of condylar dislocation. (C) 2003 European Association for Cranio-Maxillofacial Surgery.
引用
收藏
页码:90 / 92
页数:3
相关论文
共 18 条
[1]   THE RELATIONSHIP BETWEEN INTERNAL DERANGEMENTS OF THE TEMPOROMANDIBULAR-JOINT AND SYSTEMIC JOINT LAXITY [J].
BATES, RE ;
STEWART, CM ;
ATKINSON, WB .
JOURNAL OF THE AMERICAN DENTAL ASSOCIATION, 1984, 109 (03) :446-447
[2]   ORTHOGNATHIC SURGERY FOR MENTALLY-RETARDED PATIENTS [J].
BECKING, AG ;
TUINZING, DB .
ORAL SURGERY ORAL MEDICINE ORAL PATHOLOGY ORAL RADIOLOGY AND ENDODONTICS, 1991, 72 (02) :162-164
[3]  
BOUDREAU RG, 1976, J ORAL SURG, V41, P2
[4]   USE OF BONE PLATES TO MANAGE CHRONIC MANDIBULAR DISLOCATION - REPORT OF CASES [J].
BUCKLEY, MJ ;
TERRY, BC .
JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 1988, 46 (11) :998-1002
[5]   SURGICAL-CORRECTION OF LESIONS OF TEMPOROMANDIBULAR JOINTS [J].
DINGMAN, RO ;
DINGMAN, DL ;
LAWRENCE, RA .
PLASTIC AND RECONSTRUCTIVE SURGERY, 1975, 55 (03) :335-340
[6]  
ESCODA CG, 1987, AV ODONTOESTOMATOL, V3, P169
[7]  
ESCODA CG, 1987, AV ODONTOESTOMATOL, V3, P175
[8]  
FINDLAY IA, 1964, J ORAL SURG, V22, P14
[9]  
FINTERBUSH A, 1982, CLIN ORTHOP RELAT R, V168, P124
[10]  
HOWE AG, 1978, J ORAL SURG, V36, P523