Transoral approach using the mandibular osteotomy for atlantoaxial vertical subluxation in juvenile rheumatoid arthritis associated with mandibular micrognathia.
We report a case of atlantoaxial vertical subluxation with mandibular micrognathia associated with juvenile rheumatoid arthritis. The patient was treated by odontoidectomy via the transoral approach and required a sagittal split mandibular osteotomy because of the mandibular micrognathia. The clinical outcome was excellent.
Kanamori
Yasuo
Y
Department of Orthopaedic Surgery, Oral and Maxillofacial Surgery, Gifu University, School of Medicine, Gifu, Japan.
Miyamoto
Kei
K
Hosoe
Hideo
H
Fujitsuka
Hideki
H
Tatematsu
Norichika
N
Shimizu
Katsuji
K
D000328:Adult; D001171:Arthritis, Juvenile / Q000473:pathology / Q000601:surgery*; D001268:Atlanto-Axial Joint / Q000473:pathology / Q000601:surgery*; D019299:Decompression, Surgical / Q000295:instrumentation / Q000379:methods; D005260:Female; D006801:Humans; D008526:Medulla Oblongata / Q000473:pathology / Q000601:surgery; D008844:Micrognathism / Q000473:pathology / Q000601:surgery*; D010027:Osteotomy / Q000295:instrumentation / Q000379:methods*