Meniscocondylar plication: A modified operation for surgical repositioning of the ectopic temporomandibular joint meniscus

Weinberg, S; Cousens, Gary

doi:10.1016/0030-4220(87)90247-7

Cited by 38 publications

(14 citation statements)

References 25 publications

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“…By reducing the volume of the inferior joint space and increasing the capacity of the superior joint space, it essentially converted a diarthrodial joint to a monoarthrodial joint in which both hinge (ginglymoid) and sliding (arthrodial) condylar movements occurred in the superior joint space [13]. In our study too, anchoring the disc to the condyle essentially confined all condylar movements to the superior joint space.…”

Section: Discussionmentioning

confidence: 55%

“…He used a nonsurgical technique of arthroscopic lavage of the upper compartment for release of the disc. This enabled reestablishment of the simultaneous sliding of the disc with condyle by rehabilitation of the lubrication system, thus preventing the condyle from getting trapped in front of the Weinberg and Cousens [13] proposed a technique of meniscocondylar plication for the surgical correction of the ectopic temporomandibular disc by retropositioning the disc and securing it with a Mersilene suture to the lateral surface of the condyle.…”

Section: Discussionmentioning

confidence: 99%

“…According to Weinberg and Cousens [13], the rationale for their procedure of meniscocondylar plication to the lateral aspect of the condyle was based on the concept of intracapsular decompression. They concluded that their surgical technique achieved a more anatomically precise and secure disc-condyle relationship.…”

Section: Discussionmentioning

confidence: 99%

“…Very few surgical procedures for correction of chronic TMJ dislocation address the disc, except for the techniques of meniscocondylar plication by Weinberg and Cousens [13] meniscopexy by Valero [14], and posterior tissue scarification by Ohnishi [15]. The technique described by us also primarily addresses the disc for chronic dislocation.…”

Section: Discussionmentioning

confidence: 99%

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Disc Anchoring with an Orthodontic Mini-Screw for Chronic Meniscocondylar Dislocation of TMJ

Thomas

Neelakandan

Ahamed

2014

J. Maxillofac. Oral Surg.

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Introduction Various surgical modalities have been tried for the correction of chronic recurrent dislocation of the temporomandibular joint. However, most of these techniques are aimed at creating an artificial block or removing any interference in the path of the translating condyle. Chronic dislocation can also be classified as meniscotemporal and menisocondylar, depending upon whether the dislocation occurs between the condyle-disc unit and temporal bone (meniscotemporal), or between the disc and condyle (meniscocondylar). Very few procedures address the primary issue of a malpositioned disc, which is the cause of meniscocondylar dislocation. Materials and Methods This study was conducted on 17 patients (27 joints) who reported with chronic dislocation of the temporomandibular joint, with MRI-proven meniscocondylar dislocation. After exposure of the condyle and disc through a standard pre-auricular incision, an orthodontic mini-screw was fixed to the posterior aspect of the condylar head and a 1-0 Prolene suture passed through the screw-head eyelet, plicating the posterior edge of the disc to the condyle. This ensured that the condyle and disc would move in unison.Results All the patients showed improvement in their symptoms of dislocation in the postoperative period, including seven patients in whom only a unilateral procedure was carried out. None of the patients had any recurrence till the 1-year followup. Conclusion Our procedure addresses the fundamental etiology of meniscocondylar dislocation by anchoring the disc to the condyle by using an orthodontic mini-implant and correcting the condyle-disc disharmony. This technique is reliable, technically feasible, and cost-effective in the Indian set up.

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Section: Discussionmentioning

confidence: 55%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Disc Anchoring with an Orthodontic Mini-Screw for Chronic Meniscocondylar Dislocation of TMJ

Thomas

Neelakandan

Ahamed

2014

J. Maxillofac. Oral Surg.

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“…In 1979, McCarty et al reported a 94% success rate for disc-repositioning surgery; their technique involved removing 3 to 4 mm of the posterosuperior condylar surface and a posterior wedge resection (2 mm) of the bilaminar zone with suture reapproximation (9). Other surgeons, however, did not experience similar success with this technique, and this led to development of numerous new and modified techniques for disc-repositioning surgery, which had varying degrees of success (5,6,(10)(11)(12)(13)(14)(15)(16)(17)(18). Some authors have proposed arthroscopic suturing techniques to reposition the disc (19,20).…”

mentioning

confidence: 99%