Surgical treatment of recurrent mandibular dislocation by augmentation of the articular eminence with cranial bone.
OBJECTIVE
This article describes the use of calvarial bone grafts to augment the height of the articular eminence to treat recurrent mandibular dislocation.


METHODS
Eight patients with mandibular recurrent dislocation were studied clinically, radiographically, and with magnetic resonance imaging (MRI) immediately before surgery, and at 1 week, 6 months, and 1 year after the operation. All the patients were treated with a modification of the Lindemann-Norman technique, performing an oblique osteotomy in the articular eminence and placing a calvarial graft into the osteotomy to augment the height of the eminence.


RESULTS
During 18 months of follow-up, no cases of dislocation were noted.


CONCLUSIONS
The results of this study indicate that the surgical technique presented has very low morbidity and predictable outcomes.
Fernandez-Sanroman
J
J
Department of Oral and Maxillofacial Surgery, Povisa Medical Center, Vigo, Spain.
D000293:Adolescent; D000328:Adult; D016025:Bone Transplantation / Q000379:methods*; D003399:Craniotomy / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D004204:Joint Dislocations / Q000601:surgery* / Q000628:therapy; D007593:Joint Instability / Q000601:surgery*; D008297:Male; D008334:Mandible / Q000601:surgery*; D012008:Recurrence; D015911:Sclerotherapy; D018709:Statistics, Nonparametric; D013701:Temporal Bone / Q000601:surgery / Q000637:transplantation; D019224:Temporomandibular Joint Disc / Q000473:pathology; D013705:Temporomandibular Joint Disorders / Q000601:surgery* / Q000628:therapy