The treatment of temporomandibular joint internal derangements using a modified open condylotomy: a preliminary report.
A modified open condylotomy was used to treat 44 patients who presented with painful temporomandibular joints, and in whom the clinical and arthrographic findings were indicative of disc displacement. A total of 64 joints (20 bilateral) were operated on. Postoperatively, the patients showed an overall improvement in their functional symptoms. Ninety-one percent of patients had improvement in clicking and popping, and 96% reported decrease in locking. Complaints related to pain and headache were improved 85% and 95%, respectively. The modified technique, as well as the anatomic basis for its use, are discussed.
Upton
L G
LG
Department of Oral Medicine, Oral Pathology, Oral Surgery, University of Michigan School of Dentistry, Ann Arbor 48109-1078.
Sullivan
S M
SM
D000293:Adolescent; D000328:Adult; D002358:Cartilage, Articular / Q000473:pathology / Q000503:physiopathology / Q000601:surgery; D005260:Female; D006801:Humans; D004204:Joint Dislocations / Q000473:pathology / Q000503:physiopathology / Q000601:surgery; D008297:Male; D008335:Mandibular Condyle / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D008875:Middle Aged; D010027:Osteotomy / Q000379:methods; D013016:Sound; D013705:Temporomandibular Joint Disorders / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*