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Chronic recurring dislocation treatment: Chamorro Pons 3I. Navarro Cuellar 1M.
Hospital Universitario La Paz, Madrid. Various surgical procedures have been used to limit mandible opening in patients with recurrent dislocations of the temporo mandible joint TMJ. These include intracapsular injection of sclerosing agents and tethering of the mandible.
Dental and Maxillofacial Trauma
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. To evaluate the author’s experience in the treatment of recurrent dislocation of the mandible when both components, the osseous eminence and the muscular one lateral pterigoideumare treated.
Twenty-one of them are treated primarily and four of them because of fractuga.
The operative procedure is developed under general anesthesia, incising along the zygomatic arch using blunt dissection so that the front wall of the articular capsule can be exposed completely. An L-shaped plate is fixed bicortically with pins. Radiological and clinical follow-up after the surgical treatment 6 to 36 months postoperatively manifest the absence of lost graft, no recurrence, completed or partial pain remission, adequate mouth aperture and absence of important complications.
fractura de arco cigomatico pdf – PDF Files
The technique described for restricting TMJ movements in cases of chronic dislocation is relatively simple. The function of the TMJ was immediately normalized and no supplementary treatment was necessary. Recurrent dislocation; Recurrent luxation; Glenotemporal osteotomy; Temporo mandible joint; Mini plate.
Para ello se aconseja la sierra reciprocante o una fresa de fisura fina.
Asimismo, el dolor documentado por los pacientes durante el postoperatorio inmediato fue de intensidad leve-moderada con un buen manejo mediante analgesia convencional. La serie publicada por Medra y cols. Glenotemporal osteotomy as a definitive treatment for recurrent dislocation of the jaw. J Cranio-Maxillofac Surg ; Recurrent dislocation of the temporomandibular joint.
Glenotemporal osteotomy and a modified dowel graft. European Association for Maxillofacial Surgery, 7th Congress, The use of autologous blood and adjunctive “face lift” bandage in the management of recurrent TMJ dislocation. Br J Oral Maxillofac Surg Br J Oral Maxillofac Surg ; A new method of operation for habitual dislocation of the mandibule, review on cigomatoco methods of treatment.
Acta Odont Scand ;9: Shibata T, Yamashita T. Treatment of habitual temporomandibular joint dislocation with miniplate eminoplasty: J Oral Rehab ; Increasing the articular eminence fractyra the use of blocks of porous coralline hydroxyl apatite for treatment of recurrent TMJ dislocation.
J Craniomaxillofac Surg ; Medra A, Mahrous A.
Glenotemporal osteotomy and bone grafting in the management of chronic recurrent dislocation and ffractura of the temporomandibular joint. Use of autogenous cranial bone graft in maxillofacial surgery: J Oral Maxillofac Surg ; Management of chronic recurrent temporomandibular joint dislocations: Kuttenberger JJ, Hardt N.
Long-term results following miniplate eminoplasty for the treatment of recurrent dislocation and habitual luxation of the temporomandibular joint. Int J Oral Maxillofac Surg ; Recurrent dislocation of the temporomandibular joint: Travesera de Gracia,Barcelona, Barcelona, ES, maxilo elsevier.