CONDYLECTOMY TMJ PDF

A condylectomy is the preferred method for treating dysmorphology in temporomandibular joint (TMJ) defects. This procedure is indicated for a. A detailed technique for a high intracapsular condylectomy using specially designed condylar instruments is described. This procedure was performed on An intraoral approach to the TMJ was first reported by Sear in Nickerson and Veaco described intraoral condylectomy for intraoral vertical ramus.

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In our patients it was not possible to observe characteristics of osteoarthritis, perhaps due to the short follow-up time, but we confirmed normal mandibular function in terms of dynamics and daily life conditioners. The surgical protocol was realized with the conventional approach with preauricular or endaural access.

The diagnosis and treatment of the cases was based on the protocol previously published by Olate [ 6 ]. Degenerative joint disease DJDor diseases that are characterised by condylectkmy joints and tissues surrounding the jaw Internal derangement, such as disc displacement with reduction Displaced condyle fractures, or when the condyle bone becomes fractured Recurrent luxations, or recurrent dislocations Ankylosis, or the abnormal immobility of a joint resulting from fibrosis or bone union; it can be caused by disease, injury, or surgery.

Condylectomy for temporomandibular joint dysfunction. A survey of seventeen postoperative patients.

The TMJ is a condylar joint and is the main joint of the jaw. Br J Oral Maxillofac Surg. The few studies show good results without complication [ 78 ], whereas others have indicated postoperative complications such as pain and TMJ dysfunction [ 9 ].

However, condylectomy is more effective in patients who suffer from organic TMJ disorders or those that are stress-related.

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Chat with us — x. Treatment with arch bars and elastics associated to compensatory or corrective orthodontics in conjunction with orthognatic surgery are possible alternatives in these cases [ 1112 ]. The technique consists of a preauricular or endaural access that reaches the mandibular condyle in order to then perform the condylar osteotomy, removing the upper segment [ 5 ].

TMJ function after partial condylectomy in active mandibular condylar hyperplasia

Condylcetomy investigations have studied post-condylectomy joint function, which limits comparison with our results [ 6 ]. Evaluation of temporomandibular function after high partial condilectomy because of unilateral condylar hyperactivity. The partial condylectomy generally halts the disease. Table 1 Distribution of 14 patient with condilectomy and his situation in relation to function of mandible. Asia’s Largest Physician Network DocDoc has Asia’s largest healthcare physician network with 23, doctors, clinics and 55 hospitals from rmj specialties throughout the region.

Scar was not related to problem with patient and the temporal branch of facial nerve was observed with limitations but without problem for patients. Joint function is relevant in every aspect of orofacial stability.

The analysis was performed with tmm visual analog scale VAS and with a 7 cm metallic rule. Where neuropraxia was indeed present, it was possible to improve the clinical conditions in all the patients.

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Int J Clin Exp Med.

It connects the mandible and the temporal bone, hence its name. For patients, this condition was not relevant for daily. Possible Risks and Complications The complication rate of condylectomy procedures for the treatment of TMJ disorders is very low.

Support Center Support Center. The age was between 16 and 30 years old with 6 male and 8 female. Important findings in our research are the absence of pain and the absence of joint noises; the VAS score performed for this study showed values of 2 and 1 level in three patients, demonstrating that the postoperative pain is not a problem for this surgery.

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TMJ function after partial condylectomy in active mandibular condylar hyperplasia

Abstract Condylar hyperplasia is a frequent pathology that causes severe facial asymmetries. Disclosure of conflict of interest The authors declare that they have no competing financial interests.

Patients who experience TMD symptoms are advised to make some lifestyle changes, such as resting the joint, shifting to a soft diet, doing gentle jaw exercises, massaging the muscles around the jaw, and avoiding clenching the jaw or grinding the teeth.

This is condylectkmy effective on patients who have periarticular neoplasia or ankylosis. Open in a separate window. The patients were operated without complications. Finally, we conclude that the condilectomy is a safe procedure with minor mobility. The scar was not significant for any of the patients; no patient reported esthetic changes due to the incision.

We believe that healthcare condylectoky and should be safe, transparent, and fair. As such, it plays a key role in eating and speaking. Am J Orthod Dentofacial Orthop. Nevertheless, this clinical condition did not affect the daily activities of the patients studied. It can also be performed in conjunction with orthognatic surgery.