A useful method for the reduction of laterally displaced mandibular condyles: The muselet technique

Post-traumatic superolateral dislocation of condyle: A case series of 18 condyles with review of literature and a proposed classification.

“…Furguson 11 and Kapila1 described traction through wires placed in holes drilled in the exposed angle region nerve. Temiz 10 reported use of Muselet technique for reduction of six laterally dislocated condyles, associated with symphyseal or parasymphysial fractures.…”

“…Devita 10 and Rattan 14 had to carry out intraoral coronoidectomy to facilitate reduction of the condyles. We performed intraoral coronoidectomy in two of our cases, one with and another without associated coronoid fracture, to overcome mechanical obstruction during the condylar reduction.…”

Superolateral Dislocation of Bilateral Intact Mandibular Condyles: A Rare Case Series

“…The treatment modalities include the closed and open reduction techniques with the duration of the dislocation playing a major role in choosing the treatment modality. Due to the traction effects of masticatory muscles, both closed and open reduction of bilateral superolaterally dislocated condyle becomes a challenging task [14]. Dislocations that have been diagnosed early can be reduced manually making closed reduction the first choice of management.…”

“…The other method of reduction is the application of bone hook placed at the sigmoid notch through a stab incision at the same level, followed by applying a outward traction to facilitate the reduction of condyle into glenoid fossa [17]. More recently, Temiz et al [14] introduced the Muselet technique as a useful intraoral method of reduction of laterally displaced condyle. It consists of a placement of 0.8 mm thick wire through the hole drilled in the rami and twisting the wire on itself while pulling it in inferior direction.…”

“…It consists of a placement of 0.8 mm thick wire through the hole drilled in the rami and twisting the wire on itself while pulling it in inferior direction. This maneuver pulls bilateral rami inferiorly and medially providing the reduction of the joint, which can be accessed by palpation [14].…”