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Condylectomies for prolonged bilateral temporomandibular dislocation.

P K Parekh, I K Bhatia

    Archives of Orthopaedic and Traumatic Surgery. Archiv Fur Orthopadische Und Unfall-Chirurgie
    |January 1, 1983
    PubMed
    Summary
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    This case study presents a successful bilateral condylectomy for managing old, unreduced temporomandibular joint dislocations. The procedure offered painless movement and stability, preventing future complications.

    Area of Science:

    • Oral and Maxillofacial Surgery
    • Orthodontics
    • Anatomy

    Background:

    • Unreduced bilateral temporomandibular joint (TM joint) dislocations are rare and challenging to manage.
    • Traditional treatments like closed or open joint reduction have varying success rates.

    Observation:

    • A case of a seven-month-old unreduced bilateral TM joint dislocation is presented.
    • The patient experienced limited and painful jaw movement prior to intervention.

    Findings:

    • Bilateral condylectomy was successfully performed on the seven-month-old dislocation.
    • The procedure resulted in a free range of painless jaw movements and good joint stability.

    Implications:

    • Bilateral condylectomy offers a viable solution for old, unreduced TM joint dislocations, preventing redislocation and degenerative arthritis.

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  • The study highlights the effectiveness of this surgical approach in the African context, where access to advanced care may be limited.