Treatment of recurrent mandibular dislocation, Part I: Leclerc blocking procedure.
Nine patients with recurrent mandibular dislocation, who underwent the blocking procedure of Leclerc and Girard, as modified by Gosserez and Dautrey, are presented. The follow-up period range from 2.5 to 5 years. An axiographic study revealed significant postoperative limitation of translation of the condyle when opening, while maximal mouth opening as measured between the incisors, as well as translation of the condyle in protrusion and mediotrusion, showed no significant limitation. Long-term evaluation showed a high incidence of clicking and pain, not evident prior to surgery. The causes for recurrence in three cases were analysed.
Undt
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University Clinic for Maxillofacial Surgery, Medical School, University of Vienna, Austria.
Kermer
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Piehslinger
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Rasse
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M
D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007574:Jaw Relation Record; D004204:Joint Dislocations / Q000601:surgery*; D007593:Joint Instability / Q000601:surgery*; D008297:Male; D008334:Mandible / Q000503:physiopathology; D008335:Mandibular Condyle / Q000503:physiopathology*; D008875:Middle Aged; D016059:Range of Motion, Articular; D012008:Recurrence; D013514:Surgical Procedures, Operative / Q000379:methods; D013704:Temporomandibular Joint / Q000601:surgery*; D013705:Temporomandibular Joint Disorders / Q000601:surgery*; D017211:Treatment Failure; D015050:Zygoma / Q000601:surgery