ABSTRACT
A surgical procedure for the successful repair of the temporomandibular joint meniscus is described. Twenty-three patients have been treated by this procedure, with both objective and subjective improvement. The procedure is accomplished with minimal technical difficulty and minimal cosmetic defect.
Subject(s)
Cartilage, Articular/surgery , Skin Transplantation , Temporomandibular Joint Disorders/surgery , Adolescent , Adult , Aged , Cartilage, Articular/injuries , Cartilage, Articular/physiology , Female , Humans , Male , Methods , Middle Aged , Osteoarthritis/surgery , Temporomandibular Joint/injuries , Temporomandibular Joint/physiologySubject(s)
Bone Plates , Fracture Fixation/instrumentation , Bone Screws , Humans , Mandibular Fractures/surgery , Stainless SteelABSTRACT
Three cases of replacement of the condylar process have been presented with their courses and the type of prosthesis that was chosen. Each case has a unique cause with different needs for the use of a prosthesis.
Subject(s)
Mandibular Condyle/surgery , Mandibular Prosthesis , Adult , Bone Transplantation , Female , Humans , Middle Aged , Silicone Elastomers , Stainless Steel , Surgical Mesh , Temporomandibular Joint/surgery , Titanium , Transplantation, AutologousABSTRACT
Surgical intervention by a preauricular approach appears to be the preferred treatment in this rare injury. It does not appear necessary or wise to disimpact the condyle as it presents more of a surgical risk and its presence in the cranial fossa seems to pose no neurological problems. The use of an interposing medium, placed after the teeth are secured in occlusion, appears to be definitely indicated to prevent ankylosis and, hopefully, to eliminate deviation of the mandible. A carved piece of Silastic, designed to conform to the recontoured roof of the glenoid fossa, has produced excellent results in cases of ankylosis; it served well in this case. Silastic has the advantages of being easy to carve, it may be attached to the rim of the fossa, and it is extremely nonirritating; it eventually becomes encased in a fibrous capsule.
Subject(s)
Joint Dislocations/etiology , Mandibular Condyle/injuries , Mandibular Fractures/complications , Humans , Joint Prosthesis , Male , Mandible/surgery , Mandibular Fractures/surgery , Middle Aged , Silicone Elastomers , SkullABSTRACT
A case of unilateral bony ankylosis of the temporomandibular joint secondary to rheumatoid arthritis is presented, and the surgical treatment and postoperative regime are suggested. It is believed that, with proper motivation of the patient, an adequate oral opening may be maintained.
