State of the art in TMJ surgery

Abstract

Surgical techniques in TMJ surgery have and will continue to undergo modifications and change in an effort to improve the patient care and outcome. This program will present diagnostics and newer treatment approaches and technical modifications to improve patient outcomes. Clinical and research results will be presented to substantiate the efficacy of these surgical methods. The following treatment factors will be discussed. I. Concomitant TMJ and orthognathic surgery A. Diagnosis and treatment planning 1) Clinical exam 2) Imaging 3) Decision making B. Surgical sequencing C. Disc repositioning 1) Disc dislocation 2) Idiopathic condylar resorption (ICR) D. Condylectomy for disproportionate growth 1) Condylar hyperplasia (high condylectomy) 2) Osteochondroma/osteoma (low condylectomy) E. Autogenous tissue replacement F. Total joint prosthesis Implementation of these techniques by the experienced, skilled surgeon, coupled with accurate diagnosis and treatment planning, can provide optimal functional and esthetic outcomes for our patients. References Wolford LM: Temporomandibular joint devices: Treatment factors and outcomes. Oral Surg Oral Med Oral Pathol 83:143, 1997 Mehra P, Wolford LM: The Mitek Mini Anchor for TMJ disc repositioning: Surgical technique and results. Int J Oral Maxillofac Surg 30:497, 2001 Wolford LM: Concomitant temporomandibular joint and orthognathic surgery. J Oral Maxillofac Surg (in press)