Temporomandibular Subluxation Research Articles

Clinical and Radiographical Assessment of Two Different Surgical Techniques for Treatment of Temporomandibular Subluxation

Aim of the study: This study aims to evaluate the efficacy of eminectomy versus T plate eminoplasty as two surgical maneuvers for treating temporomandibular joint subluxation.Patients and Methods: The study was conducted on thirty patients suffering from bilateral TMJ subluxation. Diagnosis was confirmed by taking history, clinical examination and Tmj view radiographs. They were divided into two groups where Group I performed eminectomy while Group II inserted a T plate at the anterior border of the eminence. Clinical data including maximal mouth opening, pain, joint sounds and recurrence of subluxation episodes were collected at 1 month,3 months,6 months ,12months and 24 months postoperatively. As for the radiographic assessment cone beams were taken preoperative to exclude presence of cysts within the eminence, right postoperative, 6months ,12 months and 24 monthsResults: All clinical data collected including maximal interincisal opening, pain, joint sounds and number of dislocations episodes per week showed initial improvement for the two groups but superior results were in favor of the T-plate group. Long term follow up proved the superior results of the plates with no associated side effects. On the contrary the eminectomy group showed some side effects ,the worst of all was the Tmj osteoarthritic changes detected in the CBCT within the condylar head .Conclusion: Both surgical techniques had good results concerning TMJ subluxation. However, the plate group had superior results and no proved side effects on the long run.

Unilateral synostosis of the zygomaticotemporal suture associated with mandibular coronoid process impingement in a dog

A 13-month-old dog was investigated for the complaint of open-mouth locked jaw. There were not any previous episodes of trauma witnessed. Computed tomographic evaluation revealed unilateral zygomatico-temporal synostosis and associated craniofacial asymmetry, with impingement of the mandibular coronoid process resulting in unilateral temporomandibular joint subluxation. Closed reduction of the subluxation was not maintained. Partial zygomatico-temporal suturectomy resulted in resolution of the clinical signs. To the author's knowledge, isolated zygomaticotemporal syno-stosis with associated temporomandibular subluxation has not been reported in the dog.

An aid to accessing the distal internal carotid artery

Accessing the distal internal carotid artery can be a challenge to even the most experienced vascular surgeon. In most patients, the need for distal exposure can be anticipated in advance, thereby enabling the surgeon to consider simple measures, such as nasolaryngeal intubation, or more complex interventions, such as temporomandibular subluxation, to facilitate access. Once the procedure is underway, however, neither of these strategies can be used. The advantage of the approach described in this article is that it can be used at any time during the operation.

Linear and angular measurements of the mandible during maximal mouth opening

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The assessment of temporomandibular subluxation by means of cephalometry

The assessment of temporomandibular subluxation by means of cephalometry