A New Surgical Approach for the Treatment of Chronic Recurrent Temporomandibular Joint Dislocation

Cascone, Piero; Ungari, Claudio; Paparo, Francesco; Marianetti, Tito Matteo; Ramieri, Valerio; Fatone, MG

doi:10.1097/scs.0b013e318163e42f

Cited by 33 publications

(21 citation statements)

References 5 publications

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“…1,2 In the acute period, closed reduction maneuvers with the support of a muscle relaxant medication are usually useful for the treatment. 2,3 In classical closed reduction maneuvers, the displaced condyle head is moved backward and downward along the articular eminence of temporal bone and returned back into the glenoid fossa. 1 Most of these methods are performed with an intraoral approach by placing both thumbs over the third molar teeth in both sides and pulling the angles of mandible downwards using the remaining four fingers to overcome tractional forces of masticatory muscles.…”

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confidence: 99%

The lever technique for the external reduction of temporomandibular joint dislocation

Yeşïloğlu

Sarıcı

Şirinoğlu

et al. 2015

Journal of Plastic, Reconstructive & Aesthetic Surgery

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Section: Dear Sirmentioning

confidence: 99%

The lever technique for the external reduction of temporomandibular joint dislocation

Yeşïloğlu

Sarıcı

Şirinoğlu

et al. 2015

Journal of Plastic, Reconstructive & Aesthetic Surgery

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“…At the same time, as for acquired mandibular asymmetries, such as TMJ ankylosis, the planning of surgical treatment is again complicated, as the real position of the chin cannot be determined, due to the horizontal rotation of the mandible (14)(15)(16)(17)(18). During the first surgical approach, skeletal basis will be repositioned, while surgical assessment will perform both genioplasty and a remodeling of the body and mandibular angle.…”

Section: Discussionmentioning

confidence: 99%

Aesthetic restoration in maxillo-mandibular malformations: the role of genioplasty

Ungari

Riccardi

Reale

et al. 2015

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three-dimensional display, which are of great help in the course of diagnosis and evaluation of the displacements to be carried out, in order to obtain optimal aesthetic results.Key words: orthognathic surgery, plastic surgery, genioplasty, maxillo-mandibular malformations, facial profile change. IntroductionMany adult patients consult an orthodontist and/or maxillofacial surgeon wanting to improve their facial and dental aesthetics because beauty has great social power and results in more social contacts (1). Orthognathic surgery was performed in order to correct several skull and face abnormalities. It aims to restoring a correct occlusive relation, though the repositioning of the maxillo-mandibular skeleton basis, to increase in balance the stomatognatic system with neuro-muscular and articular components. Furthermore, while restoring the dental-skeletal relation and the occlusive ratio, it significantly helps to harmonize the face contour, achieving great cosmetic results (2). Nowadays, orthognathic surgery can be associated to other surgical treatments, such as either reductive and augmentative genioplasty (3). In 1942, Hofer first reported the use of genioplasty as surgical intervention, performing an anterior horizontal mandibular osteotomy; later on, in 1947, Sir Harold Gillies performed a sliding genioplasty on a patient affected by the Treacher-Collins syndrome. Finally, in 1964 Convers and Wood-Smith published their first significative literature. In 1948, for the first time, Rubin introduced the use of alloplastic implants, whose practice, however, was going to be limited to augmentative genioplasty cases of minor entity (4). During the 1950s, there has been a significant improvement in implants and materials quality, that leds to the creation of implants extremely close to the natural anatomic shape. Genioplasty as a cosmetic procedure is performed when skull and face malformations occur, causing an alteration of size and chin abnormalities in all three dimensions. Among this group of abnormal morbidities, there are dental-skeleton malformations and mandibular asymmetries (5). The type of abnormality that needs to be addressed determines the technique to be used and the type of displacement that needs to be performed. In fact, sliding genioplasty can both be performed, according to the nature of the case, through osteotomies or alloplastic implants. SummaryAim. The aim of this study was to determinate how orthognatic surgery aids to cure many skull and face abnormalities and to help re-establishing the correct occlusive relation thanks to the repositioning of the maxillo-mandibular skeleton basis. Methods. The study included 183 male patients and 338 female patients, with an average age of 23 years. The sample series was divided according to specific pathologies. All patients underwent surgical procedures and the therapeutic strategy was determined based on the anomalies presented. Results. 113 patients had a II class dental skeletal occlusion, 180 patients had a III class dental-skeletal occlusion...

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“…Inauspiciously, the failure of non-surgical therapy appears to suffer from misdiagnosis or incomplete diagnosis of TMDs, which could account for about 20% of failed cases (15,16). Some studies (17,18) have demonstrated that more the patient can define and localize their symptoms, more effective the surgery and out- …”

Section: Introductionmentioning

confidence: 99%

TMJ inferior compartment arthroplasty procedure through a 25-year follow-up (functional arthroplasty)

Cascone

Ramieri

Arangio

et al. 2016

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SummaryObjective. The purpose of this study was to assess the outcomes of temporomandibular joint (TMJ) "functional arthroplasty" on the inferior compartment and disc reposition as a surgical treatment for internal derangement (ID). Patients and methods. By retrospective chart review, all patients who had TMJ surgery on the inferior compartment for TMJ ID from 1985 to 2010 were identified. Their charts were reviewed and subjective data as well as objective data was collected. Results. The chart review yielded 352 patients treated through this approach for a total of 696 joints involved. Analysis of the data showed that there was a good health improvement. The mid VAS about pre surgical TMJ pain was 58.3, after surgery 7.7. About headache and cervical pain the pre surgery mid VAS was 47.7, after surgery 16.7. Conclusions. Outcome data presented show that TMJ surgery on the inferior compartment and disc reposition could be an effective and successful surgical treatment of TMJ ID. This success has been seen and maintained also in long term follow up in this specific patient population. For this reason, we propose to call this procedure "functional arthroplasty".

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A New Surgical Approach for the Treatment of Chronic Recurrent Temporomandibular Joint Dislocation

Cited by 33 publications

References 5 publications

The lever technique for the external reduction of temporomandibular joint dislocation

The lever technique for the external reduction of temporomandibular joint dislocation

Aesthetic restoration in maxillo-mandibular malformations: the role of genioplasty

TMJ inferior compartment arthroplasty procedure through a 25-year follow-up (functional arthroplasty)

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