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Surgical Management: Obstructing the Path

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Dislocation of the Temporomandibular Joint

Abstract

Despite a large number of conservative and surgical treatments described in the literature, management of chronic dislocation remains a challenge. Different treatment modalities with variable results have been described for treating recurrent temporomandibular dislocation. The surgical procedures can be categorized under two main headings: procedures that increase freedom of movement of the condyles (like eminectomy) and those that prevent excessive movement of the condyles by obstructing the path. This last category of treatment includes several procedures:

  • – Minimally invasive techniques: arthroscopic scarification of the retrodiscal tissue, sclerosing agent, and botulinum toxin injections

  • – Hard tissue surgery: down-fracture of the zygomatic arch (Dautrey procedure), articular eminence grafting procedures, and metallic obstacles (bone miniplates, mesh, and screws)

  • – Soft tissue surgery: capsular plication, lateral pterygoid myotomy and temporalis scarification, temporal fascial flap, and anterior disc positioning

  • – Tethering procedures: limitation of joint translation by tethering the condyle to the zygomatic arch

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Authors and Affiliations

  1. Mount Sinai Hospital Center for Excellence in TMJ Reconstructive Surgery, Toronto, Canada

    Mathilde Sarlabous DMD, MSc, FRCD(C) & David J. Psutka DDS, FRCD(C)

Authors
  1. Mathilde Sarlabous DMD, MSc, FRCD(C)
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  2. David J. Psutka DDS, FRCD(C)
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Correspondence to David J. Psutka DDS, FRCD(C) .

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Editors and Affiliations

  1. School of Dentistry, Department of Oral and Maxillofacial Surgery, University of North Carolina School of Dentistry, Chapel Hill, North Carolina, USA

    Nigel Shaun Matthews

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Sarlabous, M., Psutka, D.J. (2018). Surgical Management: Obstructing the Path. In: Matthews, N. (eds) Dislocation of the Temporomandibular Joint. Springer, Cham. https://doi.org/10.1007/978-3-319-62652-9_7

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  • DOI: https://doi.org/10.1007/978-3-319-62652-9_7

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-62651-2

  • Online ISBN: 978-3-319-62652-9

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