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Surgical management of recurrent TMJ dislocation—a systematic review

  • Shreya TocaciuEmail author
  • M. J. McCullough
  • G. Dimitroulis
Original Article
  • 8 Downloads

Abstract

Purpose

Recurrent temporomandibular joint (TMJ) dislocation can be challenging to treat and the current understanding regarding aetiology and management of this condition is limited. The aim of this paper was to conduct a systematic review regarding the management of recurrent TMJ dislocation.

Methods

A literature review was conducted using PRISMA guidelines to identify papers published between 2006 and 2016. The resultant papers were analysed.

Results

A total of 33 papers were found relevant to the study. Minimally invasive techniques described included autologous blood injection, which was associated with an overall success of 80% at 12 months. Other modalities investigated included OK-432 sclerotherapy, laser capsulorrhaphy, botulinum toxin of the lateral pterygoid muscle or modified dextrose. These publications show promising success rates.

Surgical techniques described included disc plication, eminoplasty and eminectomy. These modalities had a similar success rate, although numbers were limited. The true incidence of recurrent TMJ dislocation is unknown and aetiology is limited to expert opinion.

Conclusion

The current understanding of management for recurrent TMJ dislocation is limited to case series and case reports. This paper compiles the current understanding of management of recurrent TMJ dislocation. Compared to previous reviews, this paper describes some novel minimally invasive techniques with promising success in the management of recurrent TMJ dislocation.

Keywords

Temporomandibular Joint Eminectomy Disc Plication Botulinum toxin, eminoplasty Dislocation 

Notes

Author contributions

All authors made a significant contribution to this research and its publication. All authors have read and approved the final manuscript.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflicts of interest to declare.

Ethics approval

This research was granted ethical approval from the Research Governance Unit of the St Vincent’s Hospital Melbourne. LNR HREC reference number LNR/17/SVHM/19.

Consent for publication

All authors and subjects involved in this research have consented for its publication

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Oral and Maxillofacial UnitSt Vincent’s Hospital MelbourneFitzroyAustralia
  2. 2.Oral Medicine Unit, Melbourne Dental SchoolUniversity of MelbourneMelbourneAustralia

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