Treatment of chronic mandibular dislocations by bone plates: two case reports.
BACKGROUND
Various surgical procedures have been used to limit mandibular opening in patients with recurrent dislocations of the temporomandibular joint (TMJ). These include intracapsular injection of sclerosing agents and tethering of the mandible. Other methods include obstruction of the condylar translation by downfracturing the zygomatic arch or by bone graft augmentation of the tuberculum and creating a mechanical impediment using Vitallium mesh or a stainless steel pin.


METHODS
In this paper, two patients are described in whom the range of condylar movement was restricted by a bone plate attached to the lateral surface of the zygomatic arch. One arm of the plate was extended medially just below the articular eminence. One patient had a hypermobile joint in combination with mitral valve prolapse, and the other patient suffered mental retardation. The surgical technique is described in detail.


RESULTS
Six months postoperatively, TMJ function was unimpeded and there was no recurrence of condylar dislocation.
Bakardjiev
Angel
A
Department of Oral Surgery, Faculty of Dentistry, Plovdiv, Bulgaria. abakardjiev@netscape.net
D000328:Adult; D001860:Bone Plates; D002908:Chronic Disease; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D004204:Joint Dislocations / Q000503:physiopathology / Q000601:surgery*; D007593:Joint Instability / Q000601:surgery; D008334:Mandible / Q000503:physiopathology; D008875:Middle Aged; D016059:Range of Motion, Articular / Q000502:physiology; D013701:Temporal Bone / Q000601:surgery; D013705:Temporomandibular Joint Disorders / Q000503:physiopathology / Q000601:surgery*; D015050:Zygoma / Q000601:surgery