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Management Strategy for Chronic Recurrent Temporomandibular Joint Dislocation: A Prospective Study.
P Anbumani1, V Ashwin2, Pallavi U Narwade2
1Oral and Maxillofacial Surgery, Chennai, India.
Summary
Surgical articular eminectomy effectively managed chronic recurrent temporomandibular joint (TMJ) dislocations when conservative methods failed. This procedure improved pain and jaw function in most patients, offering a viable surgical solution for TMJ instability.
Area of Science:
- Oral and Maxillofacial Surgery
- Orthodontics
- Anatomy
Background:
- Temporomandibular joint (TMJ) dislocation is a common condition with various management approaches.
- Chronic recurrent TMJ dislocations often present challenges with conservative treatment methods.
- Surgical intervention is considered when non-surgical options yield unsatisfactory outcomes.
Purpose of the Study:
- To evaluate the efficacy of articular eminectomy in managing chronic recurrent TMJ dislocations.
- To assess the outcomes of surgical treatment for patients with persistent TMJ instability.
Main Methods:
- A cohort of 12 patients (21 TM joints) with chronic recurrent TMJ dislocations underwent articular eminectomy.
- Surgical management was chosen due to the failure of previous conservative treatments.
Main Results:
- Significant improvement in pain was reported post-surgery.
- Enhanced range of jaw movements and maximal mouth opening were observed.
- Overall, 10 out of 12 patients (83.3%) experienced positive outcomes.
Conclusions:
- Articular eminectomy is an effective surgical strategy for managing chronic recurrent TMJ dislocations.
- The procedure offers substantial relief from pain and functional deficits associated with TMJ instability.
Keywords:
Autologous bloodDislocationEminectomyEndaural incisionTemporomandibular jointWide mouth opening
