Temporalis fascialis sling - a surgical techique for the treatment of recurrent dislocation of the temporomandibular joint

Abstract

Recurrent dislocation of the temporomandibular joint is a relatively common problem for which many treatment alternatives have been described. When recurrent dislocation fails to respond to conservative treatment or pain becomes a major problem, surgical intervention is warranted. Unfortunately, current treatments are unpredictable and are associated with problems such as foreign body reactions, degeneration, and recurrent pain. We describe a new procedure, using a temporalis sling for the treatment of recurrent temporomandibular joint dislocation. The temporalis sling has been effective in preventing recurrent dislocation and has not disturbed the intricate articulation process involved in mouth opening. This alternative offers significant amelioration of abnormal joint function and pain.

Treatment of Recurrent Temporomandibular Joint Dislocation

“…In such a situation, conservative treatment is not successful. For the treatment of recurrent TMJ dislocation, many methods are attempted for the articular eminence, condyle or soft tissue [3][4][5][6][7][8][9][10][11][12][13].…”

“…1). If this dislocation occurs as a chronic or recurrent condition, conservative treatment is not successful in a majority of patients, and surgical treatment remains the only option [1][2][3][4]. The treatment of recurrent TMJ dislocation has been varied and is aimed at repositioning the condyle and preventing further recurrences.…”

Different modalities in management of temporomandibuolar joint dislocation

“…Other aetiological factors associated with TMJ dislocation are trauma, the use of anti-emetics and phenothiazine, which produce extra-pyramidal effects, systemic diseases such as rheumatoid arthritis, and psychogenic and neurological disorders. (6,7) . It was found that dislocation occurs more frequently in patients with TMJ internal derangement, occlusal disturbances (loss of vertical height), joint laxity and neurological disorders (8,9) .…”