Surgical treatment of recurrent mandibular dislocation by augmentation of the articular eminence

악관절 융기 증강술을 통한 습관성 악관절 탈구환자의 치험례

  • Kim, Il-Kyu (Dept. of Oral & Maxillofacial Surgery, College of Medicine, In-Ha University) ;
  • Sihn, Joo-Ho (Dept. of Oral & Maxillofacial Surgery, College of Medicine, In-Ha University) ;
  • Oh, Sung-Seop (Dept. of Oral & Maxillofacial Surgery, College of Medicine, In-Ha University) ;
  • Choi, Jin-Ho (Dept. of Oral & Maxillofacial Surgery, College of Medicine, In-Ha University) ;
  • Kim, Hyung-Don (Dept. of Oral & Maxillofacial Surgery, College of Medicine, In-Ha University) ;
  • Oh, Nam-Sik (Dept. of Oral & Maxillofacial Surgery, College of Medicine, In-Ha University) ;
  • Kim, Eui-Seong (Dept. of Oral & Maxillofacial Surgery, College of Medicine, In-Ha University)
  • 김일규 (인하대학교 의과대학 치과학교실) ;
  • 신주호 (인하대학교 의과대학 치과학교실) ;
  • 오성섭 (인하대학교 의과대학 치과학교실) ;
  • 최진호 (인하대학교 의과대학 치과학교실) ;
  • 김형돈 (인하대학교 의과대학 치과학교실) ;
  • 오남식 (인하대학교 의과대학 치과학교실) ;
  • 김의성 (인하대학교 의과대학 치과학교실)
  • Published : 2000.06.30

Abstract

Recurrent mandibular dislocation is frequent morbidity of temporomandibular joint relatively. There are many etiologic causes in TMJ disorders but, difficult to find obvious one. Various treatment methods have been utilized for a mandibular dislocation. It is categorized into two groups broadly - nonsurgical or surgical methods. The basic rationale of the surgical method is to allow free movement of the condyle by reducing height of articular eminence or to limit anterior excessive movement of the condyle by increasing height of articular eminence or soft tissue anchoring procedure. In this case, 69 year-old woman was treated by augmentation of the articular eminence with mandibular symphysial bone graft leading to osteosynthesis without difficulty. As a result, favorable postoperative outcome was obtained functionally without any complication or recurrence.

Keywords