scholarly journals TMJ´s Posterolateral Dislocation with Tympanic Plate Fracture – Case Report

Temporomandibular joint (TMJ) dislocation is characterized by mandibular condyle dislocation out of articular cavity, fixated in an abnormal position in which self-reduction it is not possible. The TMJ traumatic dislocation occurs after medium and high intensity trauma directly on the joint or on symphyseal area and it is generally associated to fractures. This report documents a case of an unusual posterolateral dislocation of the left condyle with tympanic plate fracture, insignificant fracture of mandibular condyle, and discuss about the clinical symptoms, classification of dislocations, and treatment. A list of similar cases from the last 10 years is also showed.

Author(s):  
Paramjit . ◽  
Neetu Pansotra

<p>Temporomandibular joint (TMJ) dislocation is a condition in which the mandibular condyle is anteriorly displaced beyond the articular eminence, hence completely out of glenoid fossa which leaves the patient unable to close his/her mouth. Long standing TMJ dislocation persisting for more than a month are the most challenging to treat. The management varies widely, from closed reduction to complicated surgical procedures to reduce the dislocated condyle. Each case of dislocation presents with its own unique features. Since there are no standard rules or conventions for the ideal strategy in different circumstances till date, initial approach should be conservative, preserving surgical treatment for later if needed. This paper presents the experience of conservatively managing a case of long standing (one and half month old) TMJ dislocation under general anaesthesia with excellent outcome.</p><p> </p>


2020 ◽  
Vol 3 (5) ◽  
pp. 65-68
Author(s):  
Gaffarov S.A. ◽  
Saidov A.A.

Among the reasons for patients visiting a dentist, one of the most common is the pathology of the temporomandibular joint (TMJ), which occurs in 25-50% of the population [2,3,4]. According to the classification of ICD-10, TMJ diseases are classified as class XII " Maxillofacial abnormalities (including malocclusion) ”and Section 6“ Temporomandibular joint diseases ”, arthropathy and arthrosis of all joints of various etiologies are also described in class XIII“ Diseases of the musculoskeletal system and connective tissue ”. TMJ internal disorders are referred to in this classification by the terms “clicking jaw”, “TMJ dislocation and subluxation”.


2018 ◽  
Vol 97 (9) ◽  
pp. E23-E27 ◽  
Author(s):  
Daniel C. O'Brien ◽  
Kaylee R. Purpura ◽  
Adam M. Cassis

In this article we report the case of a 41-year-old man with bilateral aural fullness and hearing loss. On examination he was found to have bilateral, dehiscent anterior canal walls with herniation of the mandibular condyle. This herniation partially obstructed the canals and contributed to his symptoms. To the best of our knowledge, this is only the third reported case of bilateral spontaneous temporomandibular joint herniation, and only 28 cases of unilateral spontaneous herniation can be found in the English language literature. While it is a rare phenomenon, it should be considered when evaluating a patient with fluctuating ear symptoms.


2019 ◽  
Vol 13 (02) ◽  
pp. 291-293 ◽  
Author(s):  
Mohd Toufeeq ◽  
Murali Venkata Rama Mohan Kodali ◽  
Srikanth Gunturu ◽  
Kiran Kumar ◽  
Kavya Surapaneni

AbstractDislocation of mandibular condyles can occur following excessive mouth opening or traumatic injury to the temporomandibular joint. It can also occur during general anesthesia that at times may go un-noticed in the modern-day theater setup. Here, we describe a case of bilateral dislocation of mandibular condyle following orotracheal intubation for general anesthesia. Right condyle was dislocated into temporal fossa.


Author(s):  
Hage Ampu ◽  
Tanya Singh ◽  
Sunil Kumar ◽  
H. P. Singh ◽  
Shalini Bhalla

AbstractIn this case report we describe a rare case of chondrosarcoma of the Temporomandibular joint in a 70 years old female who presented with a right preauricular swelling, trismus and neuralgic pain. On examination, firm and tender swelling was noted in the right preauricular region. CT Scan revealed 3.48 × 3.0 cm size mass lesion in the region of mandibular condyle and extending into the right temporomandibular joint space. The cytopathological report was suggestive of chondroid malignancy. The tumor was excised and histopathological examination showed large sheets of atypical tumor cells with cartilaginous matrix and diagnosis of a well differentiated Chondrosarcoma was confirmed. Post-surgical resection, patient remains disease free at 15 months follow up.


Author(s):  
Sandeep Mehta ◽  
Andrews Navin Kumar ◽  
Gaurav Dua ◽  
Shanender Singh Sambyal

<p class="abstract">In this case reportunilateral chronic mandibular dislocation was managed by Myrhaug’s procedure (eminectomy). Temporomandibular joint (TMJ) dislocation is a uncommon clinical entity and surgery is a more definitive option when it’s come to the management chronic and recurrent TMJ dislocation. Eminectomy is shown to be efficient in preventing TMJ dislocations without affecting the maximum mouth opening, articulation and masticatory efficiency.</p><p class="abstract"> </p>


Author(s):  
Ki Eun Hong ◽  
Eun Sup Shin ◽  
Jun Park ◽  
Ji Eon Yun ◽  
Chul Hoon Kim ◽  
...  

Abstract Background The purpose of this retrospective study was to evaluate the postoperative change in the position and stability of the mandibular condyle after bilateral sagittal split ramus osteotomy (BSSRO) and BSSRO with distal segmental ostectomy (DSO) in patients with facial asymmetry using 3D computed tomography. Methods The condyles of the patient diagnosed with facial asymmetry were divided into the deviated side (DS) and the non-deviated side (NDS). Group I, which was treated with BSSRO only, and Group II, which additionally received DSO along with BSSRO, were superimposed on the condyle using the pre-and postoperative 3D CT. The amount of condylar change in anteroposterior displacement, mediolateral displacement, and rotation was measured. The clinical symptoms of temporomandibular joint were also evaluated before and after surgery for each patient. Results Between Groups I and II, there was no statistically significant difference in the anteroposterior condylar position on both DS and NDS. And also, there was no statistical difference between the two groups in the mediolateral change on DS but, statistically significant difference on NDS. The change in the rotation of the condyle was observed to rotate inward from both condylar heads of Groups I and II, and a statistically significant difference was observed between the two groups on both DS and NDS. Moreover, no difference in clinical temporomandibular joint symptoms was observed after surgery in each DS and NDS condyle of the two groups. Conclusions As a result of analyzing the condylar position change of the group treated with BSSRO alone and the group treated with BSSRO and DSO in patients with facial asymmetry, there were statistically significant differences in the mediolateral displacement of NDS and the condyle rotation of NDS and DS. However, the anteroposterior condylar position did not show any difference in the bilateral condyles. In addition, since worsening clinical symptoms of bilateral temporomandibular joint were not observed before and after surgery in both groups, it is concluded that it is not necessary to accompany DSO in patients with facial asymmetry (minimum 3 mm, maximum 7 mm).


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